Peduzzi M, Schwitter M, Cathomas R, von Moos R, Wieland T, Mey U
Departement Innere Medizin, Medizinische Onkologie, Kantonsspital Graubünden, Chur.
Praxis (Bern 1994). 2012 Mar 28;101(7):483-7. doi: 10.1024/1661-8157/a000890.
The differential diagnosis of eosinophilia is broad and constitutes a major challenge for both, the general practitioner and the hematologist. Whereas in developing countries secondary eosinophilia is commonly caused by parasitic infections, in Western and European countries eosinophilia is more often associated with atopic diseases or drug-related. This case-report presents an asymptomatic patient with marked persisting eosinophilia caused by Strongyloidiasis in whom parasitic stool examinations were repeatedly negative and infection could only be established by serologic testing.
嗜酸性粒细胞增多症的鉴别诊断范围广泛，对全科医生和血液科医生来说都是一项重大挑战。在发展中国家，继发性嗜酸性粒细胞增多症通常由寄生虫感染引起，而在西方国家和欧洲国家，嗜酸性粒细胞增多症更常与特应性疾病或药物相关。本病例报告介绍了一名因类圆线虫病导致明显持续性嗜酸性粒细胞增多症的无症状患者，其粪便寄生虫检查多次呈阴性，仅通过血清学检测才确诊感染。
