“…Endomyocardial fibrosis is considered the most classic and known complication of prolonged IHS. Further, skin lesions, multiple erythematous indurated plaques, can be the dominating and/or presenting symptom in about 50% of patients [1][2][3][4][5]. Diagnosis of IHS implies that both secondary and clonal eosinophilia have been ruled out as possible diagnoses.…”