Hepburn A, Coady A, Livingstone J, Pandit N
Department of Rheumatology, Watford General Hospital, UK.
Clin Rheumatol. 2000;19(6):470-2. doi: 10.1007/s100670070008.
We describe a case of acute acalculous cholecystitis occurring in a 43-year-old woman with a history of the eosinophilia-myalgia syndrome, associated with the ingestion of 1-tryptophan. The patient underwent a laparoscopic cholecystectomy and subsequent histological examination of the gallbladder revealed an infiltrate predominantly of eosinophils, suggesting a possible relationship to the underlying condition. This may represent a late complication of the eosinophilia-myalgia syndrome--such an association has not previously been reported in the literature. The gastrointestinal and hepatic complications of this syndrome are discussed.
我们描述了一例发生在一名43岁女性身上的急性非结石性胆囊炎病例，该女性有嗜酸性粒细胞增多性肌痛综合征病史，与摄入1-色氨酸有关。患者接受了腹腔镜胆囊切除术，随后对胆囊进行的组织学检查显示主要为嗜酸性粒细胞浸润，提示可能与潜在疾病有关。这可能代表嗜酸性粒细胞增多性肌痛综合征的一种晚期并发症——此前文献中尚未报道过这种关联。本文讨论了该综合征的胃肠道和肝脏并发症。
