Levesque H, Elie-Legrand M C, Thorel J M, Touchais O, Gancel A, Hecketsweiller P, Courtois H
Service de Médecine Interne, CHU Rouen-Boisguillaume, Boisguillaume.
Gastroenterol Clin Biol. 1990;14(6-7):586-8.
We report two cases of hypereosinophilic syndrome with predominant gastrointestinal signs, which could have been mistaken for eosinophilic gastroenteritis. In the first case, the patient presented with eosinophilic ascites; documentation of pulmonary involvement allowed to easily establish the diagnosis. In the second case, the patient presented with diarrhea and malabsorption; gastrointestinal and pancreatic involvement seemed isolated. Cases reported as eosinophilic gastroenteritis in the literature with polyvisceral involvement raise the possibility of hypereosinophilic syndrome. We suggest that diffuse eosinophilic gastroenteritis could in fact be an isolated manifestation of the idiopathic hypereosinophilic syndrome.
我们报告了两例以胃肠道症状为主的嗜酸性粒细胞增多综合征病例，这些病例可能被误诊为嗜酸性粒细胞性胃肠炎。在第一例中，患者表现为嗜酸性腹水；肺部受累的记录有助于轻松确诊。在第二例中，患者表现为腹泻和吸收不良；胃肠道和胰腺受累似乎是孤立的。文献中报道的伴有多脏器受累的嗜酸性粒细胞性胃肠炎病例增加了嗜酸性粒细胞增多综合征的可能性。我们认为，弥漫性嗜酸性粒细胞性胃肠炎实际上可能是特发性嗜酸性粒细胞增多综合征的一种孤立表现。
