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[嗜酸性粒细胞性胃肠炎伴腹水:临床病例报告]

[Eosinophilic gastroenteritis with ascites: clinical case report].

作者信息

Yep Gamarra Víctor, Matos Nova Ana, Aldave Herrera Augusto

机构信息

Médico Ex Residente de Gastroenterología del Hospital Regional Docente de Trujillo-Perú.

出版信息

Rev Gastroenterol Peru. 2011 Apr-Jun;31(2):173-7.

Abstract

Eosinophilic Gastroentertis (EG) is a very rare disease, characterized by focal or difuse eosinophilic infiltration of the gastrointestinal tract. The clinical presentation is variable and depends on the histological and the extension layer involved. We report a case of eosinophilic gastroenteritis whose main presentation was ascites with peripheral eosinophilia and chronic intermittent diarrhea in a patient with a history of atopy. Upper endoscopy showed severe multifocal erythematous gastritis, the ascitic fluid showed elevated WBC with eosinophilia, with a SAAG (Serum albumin ascites gradient) of less 1.1. The patient was treated with corticoesteroids with remission of clinical manifestation.

摘要

嗜酸性胃肠炎(EG)是一种非常罕见的疾病,其特征是胃肠道出现局灶性或弥漫性嗜酸性粒细胞浸润。临床表现多样,取决于所累及的组织学类型和肠壁层次。我们报告一例嗜酸性胃肠炎病例,该患者有特应性病史,主要表现为腹水伴外周血嗜酸性粒细胞增多和慢性间歇性腹泻。上消化道内镜检查显示重度多灶性红斑性胃炎,腹水白细胞升高伴嗜酸性粒细胞增多,血清腹水白蛋白梯度(SAAG)小于1.1。该患者接受皮质类固醇治疗后临床表现缓解。

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