Matsuura Tomoharu, Yamade Mihoko, Matsushita Naoya, Kawasaki Shinsuke, Terai Tomohiro, Uotani Takahiro, Takayanagi Yasuhiro, Yamada Takahiro, Kodaira Chise, Sugimoto Mitsushige, Furuta Takahisa, Sugimoto Ken, Osawa Satoshi, Ikuma Mutsuhiro
First Department of Medicine, Hamamatsu University School of Medicine, Japan.
Nihon Shokakibyo Gakkai Zasshi. 2011 Mar;108(3):444-50.
We encountered a very rare case of eosinophilic gastroenteritis accompanied with fasciitis of the extremities. The patient was a 28-year-old woman with epigastralgia, eosinophilia plus leukocytosis, massive pleural effusion and ascites, and thickening of the walls of the intestine. Increase of the eosinophilic fraction in her ascites led to a diagnosis of eosinophilic gastroenteritis. She soon developed resting pain in all limbs and MRI revealed fasciitis. Prednisolone was effective in treating both gastroenteritis and fasciitis.
我们遇到了一例非常罕见的嗜酸性粒细胞性胃肠炎伴发四肢筋膜炎的病例。患者为一名28岁女性，有上腹部疼痛、嗜酸性粒细胞增多伴白细胞增多、大量胸腔积液和腹水，以及肠壁增厚。她腹水中嗜酸性粒细胞比例升高，从而诊断为嗜酸性粒细胞性胃肠炎。她很快出现四肢静息痛，MRI显示为筋膜炎。泼尼松龙对治疗胃肠炎和筋膜炎均有效。
