Durieu I, Nove-Josserand R, Cathebras P, Durand D V, Rousset H, Levrat R
Service de Médecine Interne, Centre Hospitalier Lyon Sud, Pierre-Benite.
Rev Med Interne. 1992 Nov;13(6):446-8.
Two new cases of eosinophilic ascites and a brief review of 40 cases found in the literature are presented. In three quarters of the cases eosinophilic ascites affects women aged 40 years on average. Because the patients present with a history of allergy (55%), blood hypereosinophilia (69%), associated pleural effusion (11%), gastrointestinal disorders and, above all, eosinophilic infiltrations in the walls of the digestive tract or the serous membranes (63%), this pathology may be regarded as a clinical form or eosinophilic gastroenteritis. The outcome is favourable in 90% of the cases; relapses occur in 26%. Is eosinophilic gastroenteritis and independent pathological entity, or should it be considered a minor clinical form of Chusid's idiopathic hypereosinophilic syndrome? The lack of decisive arguments precludes a firm conclusion.
本文报告了两例嗜酸性粒细胞性腹水的新病例,并对文献中发现的40例病例进行了简要回顾。在四分之三的病例中,嗜酸性粒细胞性腹水平均影响40岁的女性。由于患者有过敏史(55%)、血液嗜酸性粒细胞增多(69%)、伴有胸腔积液(11%)、胃肠道疾病,最重要的是消化道壁或浆膜有嗜酸性粒细胞浸润(63%),这种病理情况可被视为嗜酸性粒细胞性胃肠炎的一种临床形式。90%的病例预后良好;26%的病例会复发。嗜酸性粒细胞性胃肠炎是一种独立的病理实体,还是应被视为楚西德特发性嗜酸性粒细胞增多综合征的一种轻微临床形式?由于缺乏决定性论据,无法得出确凿结论。