Tan Shevyll Arvie, Duggal Abhijit
Western Reserve Care System, Northside Medical Center, Youngstown, OH, USA.
South Med J. 2009 Jul;102(7):751-3. doi: 10.1097/SMJ.0b013e3181a9429d.
A 56-year-old female with idiopathic hypereosinophilic syndrome who presented with chest tightness, dyspnea and new-onset atrial fibrillation is reported. Work up revealed significant peripheral eosinophilia, pericarditis, and a pericardial effusion with tamponade physiology. Pericardiocentesis revealed predominant eosinophils (88%) in the pericardial fluid. After initial stabilization, pericardial effusion reaccumulated with persistence of marked eosinophilia. A diagnosis of idiopathic hypereosinophilic syndrome was made, and she was started on prednisone with a dramatic resolution of her clinical symptoms.
报告了一名56岁患有特发性嗜酸性粒细胞增多综合征的女性，她出现了胸闷、呼吸困难和新发房颤。检查发现有明显的外周血嗜酸性粒细胞增多、心包炎以及伴有心脏压塞生理改变的心包积液。心包穿刺术显示心包液中主要为嗜酸性粒细胞（88%）。在初始病情稳定后，心包积液再次积聚，且嗜酸性粒细胞显著增多持续存在。诊断为特发性嗜酸性粒细胞增多综合征，随后她开始使用泼尼松治疗，临床症状得到显著缓解。
