Dasari Sowjanya, Naha Kushal, Hande Manjunath, Vivek G
Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
BMJ Case Rep. 2013 Aug 30;2013:bcr2013200087. doi: 10.1136/bcr-2013-200087.
We report the case of a 27-year-old man, presenting with one episode of massive haematemesis and a history of persistent eosinophilia for the past 8 months. An evaluation revealed hepatic cirrhosis with portal hypertension, secondary to chronic Budd-Chiari syndrome. Further investigations confirmed a diagnosis of hypereosinophilic syndrome. Molecular genetic analysis was negative for FIP1L1-PDGFRA gene rearrangement, but positive for JAK2V617F mutation.
我们报告了一例27岁男性病例,该患者出现一次大量呕血,且在过去8个月中有持续嗜酸性粒细胞增多症病史。评估显示继发于慢性布加综合征的肝硬化伴门静脉高压。进一步检查确诊为高嗜酸性粒细胞综合征。分子遗传学分析显示FIP1L1-PDGFRA基因重排为阴性,但JAK2V617F突变呈阳性。