Cichy Łukasz, Orlicka Anna, Fyderek Krzysztof
Przegl Lek. 2013;70(12):1011-4.
Eosinophilic disorders of the gastrointestinal tract are a heterogeneous group of rare and therefore rarely diagnosed chronic diseases occurring in both pediatric and adults. They represent a diverse clinical presentation, but their common feature is the presence of inflammatory infiltration of the intestinal wall with increased number of eosinophils. The study was a retrospective data analysis of patients hospitalized in the Department of Pediatrics, Gastroenterology and Nutrition, Jagiellonian University Medical College in Krakow, in the last 34 months. Among 11191 hospitalized children with symptoms suggesting gastrointestinal tract disorders, 1918 patients underwent endoscopic examination in which only 23 patients had significantly higher number of eosinophils in biopsies. Two of the four patients with eosinophilia in esophageal biopsy were diagnosed retrospectively as eosinophilic esophagitis. In the remaining 21 patients eosinophilia was secondary to other diseases of the gastrointestinal tract. Based on the medical documentation we performed thorough characterization study population in terms of history, physical examination and carried out laboratory tests. The results were referred to the current review of the literature.
胃肠道嗜酸性粒细胞疾病是一组异质性的罕见慢性病,在儿童和成人中均有发生,因此很少被诊断出来。它们临床表现多样,但其共同特征是肠壁存在炎症浸润且嗜酸性粒细胞数量增加。该研究是对克拉科夫雅盖隆大学医学院儿科、胃肠病学和营养科过去34个月住院患者的回顾性数据分析。在11191名有胃肠道疾病症状的住院儿童中,1918名患者接受了内镜检查,其中只有23名患者活检中的嗜酸性粒细胞数量明显更高。食管活检嗜酸性粒细胞增多的4名患者中有2名被回顾性诊断为嗜酸性食管炎。其余21名患者的嗜酸性粒细胞增多是由其他胃肠道疾病继发的。基于医疗记录,我们从病史、体格检查和实验室检查方面对研究人群进行了全面的特征描述。结果参考了当前的文献综述。