Monday, December 4, 2023
This activity is intended for allergists, clinical immunologists, pulmonologists, and cardiologists.
The goal of this activity is to provide guided case studies with expert feedback to allow clinicians to improve their skills in assessing and treating patients with hypereosinophilic syndrome (HES).
Upon completion of this activity, participants will:
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Medscape, LLC designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Aggregate participant data will be shared with commercial supporters of this activity.
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There are no fees for participating in or receiving credit for this online educational activity. For information on applicability
and acceptance of continuing education credit for this activity, please consult your professional licensing board.
This activity is designed to be completed within the time designated on the title page; physicians should claim only those
credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the
activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.
Follow these steps to earn CME/CE credit*:
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Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period, you can print
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*The credit that you receive is based on your user profile.
CME / ABIM MOC Released: 5/25/2021
Valid for credit through: 5/25/2022, 11:59 PM EST
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The following cases are modeled on the interactive grand rounds approach. The questions within the activity are designed to test your current knowledge. After each question, you will be able to see whether you answered correctly and read evidence-based information that supports the most appropriate answer choice. The questions are designed to challenge you; you will not be penalized for answering the questions incorrectly. At the end of the activity, there will be a short post-test assessment based on the material presented.
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James is a 35-year-old engineer. Four years ago, he developed a rash that did not respond to topical steroids or oral antihistamines. Three years ago, he was diagnosed with asthma, which he manages with daily inhaled corticosteroids (ICS). He has been experiencing worsening pruritic skin lesions on his extremities, torso, and back of the neck for the past 3 months, which his primary care physician has said is probably eczema. He has also been experiencing increasing dyspnea upon exertion over the past month. He has a history of anxiety.
James presents to the emergency department with shortness of breath, wheezing, and worsening pruritic skin lesions. He has no fever, but he's slightly tachycardic and tachypneic, and his blood pressure is 145/86 mm Hg. He says he is tired all the time and complains about the stress of the pandemic and the effects it has had on the company where he works; he adds that his worsening rash and fatigue do not help matters. When asked about his current medications, James reports that he is taking daily ICS for asthma, along with daily oral corticosteroids for the rash and anti-anxiety medication. James also notes that he has tried to stop the oral corticosteroids because he does not like the way they make him feel. He has been experiencing mood swings and thinning hair, and he has been gaining weight. However, when he has tried to stop the corticosteroids, his rash worsens. His previous laboratory measures, which are in the system, show that he had an elevated eosinophil count, 11% of his white blood cell count, 3 years ago.
