Toyoda M, Suzuki D, Uehara G, Umezono T, Horiki T, Yagame M, Endoh M, Kurokawa K, Sakai H
Division of Nephrology and Metabolism, School of Medicine, Tokai University, Kanagawa, Japan.
Nihon Jinzo Gakkai Shi. 2001;43(1):44-8.
We experienced two cases of limb edema of unknown pathogenesis. No evidence was found concerning involvement of the kidneys, heart of other visceral organs. Case 1 was 22-year-old woman. Her white blood cell count increased to 13,100/microliter with 65.0% eosinophils. Case 2 was a 27-year-old woman. Her white blood cell count increased to 23,300/microliter with 67.0% eosinophils. In these cases, extensive diagnostic evaluations revealed no evidence of atopy, neoplasms, collagen-vascular disease, or parasitic infestation. We diagnosed these cases as episodic angioedema with eosinophilia. In both cases, the angioedema improved gradually in parallel with a decrease in the white blood cell count. This disorder is very rare, but it is very important to consider it in differential diagnosis especially for nephrologists.
我们遇到了两例病因不明的肢体水肿病例。未发现涉及肾脏、心脏或其他内脏器官受累的证据。病例1是一名22岁女性。她的白细胞计数增至13,100/微升,嗜酸性粒细胞占65.0%。病例2是一名27岁女性。她的白细胞计数增至23,300/微升,嗜酸性粒细胞占67.0%。在这些病例中,广泛的诊断评估未发现特应性、肿瘤、胶原血管病或寄生虫感染的证据。我们将这些病例诊断为伴有嗜酸性粒细胞增多的发作性血管性水肿。在这两个病例中,血管性水肿均随着白细胞计数的下降而逐渐改善。这种疾病非常罕见,但在鉴别诊断中考虑它非常重要,尤其是对肾病科医生而言。