From the Respiratory Unit, Northern General Hospital, Edinburgh, and the Medical Computing and Statistics

ABSTRACT The acute and long term responses to corticosteroid treatment in 65 patients with pulmonary eosinophilia have been reviewed. Ofthe 247 episodes ofpulmonary eosinophilia that were documented during a median follow up period of 14 years, 186 were treated with prednisolone. Complete clearing of chest radiographic infiltrates occurred in 65 % of the 247 episodes, partial clearing in 25%, and no response in 9%. Blood eosinophil counts were monitored during 194 episodes and returned to normal in 72%, decreased in 19%, and remained raised in 9%. Complete radiological clearing and a reduction in blood eosinophil counts were more common in episodes treated with prednisolone. Long term prednisolone was given to 28 of the 33 patients with allergic bronchopul-monary aspergillosis (mean 7-4 mg/day for 11 years) and to 29 of the 32 "non-aspergillosis " patients (mean 8- 1 mg/day for 4-6 years). Initial pulmonary function, measured between episodes, was worse in patients with allergic aspergillosis than in those without (mean % predicted: FEV, 57 % v 83%, vital capacity (VC) 76 % v 88%). During a mean follow up period of 12 years neither group displayed further decline in FEV, or VC