Hydroxychloroquine, a 4-aminoquinoline derivative, is indicated in systemic lupus erythematosus, rheumatoid arthritis and other inflammatory rheumatic diseases[1]. Its main adverse drug reactions are retinopathy during long-term exposure with high doses, cardiac damage with arrhythmias, potentially severe skin damage, neuromyopathy, and hematological damage such as bone marrow aplasia and agranulocytosis[2]. Eosinophilia, although very rare, is a known side effect of this drug[3]. We came across a case of severe eosinophilia without skin manifestations during the treatment of COVID-19 with hydroxychloroquine.