Hypereosinophilic syndrome in a female

A 45 year old female, presented with generalised pruritus, erythematous papular eruptions, vomiting, at times haernatemesis and constipation alongwith generalised of skin and loss of body hair. Generalised pruritus and thickening of whole body skin are very uncommon in hypereosinophilic syndrome (HES). Haematemesis and loss of body hair are hitherto unreported to our knowledge in HES.