Wächter B, Jäger-Arand E, Engers R, Meyer zum Büschenfelde K H, Manns M
I. Medizinische Klinik, Johannes-Gutenberg-Universität Mainz, Bundesrepublik Deutschland.
Z Gastroenterol. 1992 Jul;30(7):469-72.
A 21 year old caucasian male suffered for 14 days from cramping abdominal pain, associated with nausea and vomiting. 6 weeks later he was admitted to our hospital because of rapidly increasing ascites. Further examinations led to the following decisive findings: Marked eosinophilia in the white cell count; marked eosinophilia in protein rich ascitic fluid; infiltration of serosal layer with eosinophils; no evidence for parasites in blood, faeces and ascites in multiple probes; no evidence for malignant or rheumatoid disease. Histology and cytology of probes obtained at laparoscopy led to the diagnosis of eosinophilic gastroenteritis with ascites. After low dose prednisolone therapy we observed a complete relief of symptoms and ascites disappeared.
一名21岁的白种男性遭受了14天的腹部绞痛，伴有恶心和呕吐。6周后，他因腹水迅速增加而入住我院。进一步检查得出以下决定性结果：白细胞计数中显著嗜酸性粒细胞增多；富含蛋白质的腹水中显著嗜酸性粒细胞增多；浆膜层有嗜酸性粒细胞浸润；多次检测血液、粪便和腹水中均未发现寄生虫证据；未发现恶性或类风湿疾病证据。腹腔镜检查获取的样本的组织学和细胞学检查结果诊断为伴有腹水的嗜酸性粒细胞性胃肠炎。低剂量泼尼松龙治疗后，我们观察到症状完全缓解，腹水消失。
