COM'on Case 6

A 54 year old Caucasian female presented with a history of seasonal allergies, sinusitis, a spreading burning sensation in her legs with recent loss of balance, weight loss, and lower extremity edema. Laboratory values included an M-spike of 1.1 gm/dl, a CRP of 37.8 and a peripheral hypereosinophilia of 67%. An endomyocardial biopsy was performed.

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