To the Editor. —Farcet and co-workers, in the March Archives (1982;142: 625-627), postulated a potential association between tuberculosis and hyper-eosinophilia. We are in basic agreement with the conclusion, but the statement that peripheral eosinophilia has not been reported in Mycobacterium tuberculosis is not entirely accurate. In this regard, Miller1 has drawn attention to the existence of peripheral eosinophilia with tuberculosis. We, too, wish to report a case that emphasizes this association. Report of a Case. —A 61-year-old man was admitted to the hospital because of fever. He had been well until four weeks earlier, when fever developed, accompanied by weakness, fatigue, weight loss, skin lesions, and lymphadenopathy. There was no history of allergies, asthma, sweats, chills, cough, sputum production, pulmonary tuberculosis, or exposure to communicable disease, nor report of recent travel. Results of a physical examination were normal except for moderate splenomegaly and lymphadenopathy in the cervical, axillary, and