Wang Yu-Bing, Han Ya-Juan, Uchida Kenzo, Zhao Bing-Cheng, Chen Ke-Bing, Ma Wei-Ying, Xie Feng-Jiao, Liu Tie-Lian, Zhang Li-Xi
Department of Cardiothoracic Surgery, The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.
Department of Endocrinology, The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.
Ann Thorac Surg. 2014 Nov;98(5):1838-41. doi: 10.1016/j.athoracsur.2013.12.078. Epub 2014 Oct 30.
We report a case of hypereosinophilic syndrome in a 47-year-old man who had acute pneumothorax as the initial presentation. Peripheral blood eosinophil count increased continuously over a period of 1 month and was associated with pulmonary changes and appearance of skin lesions on the right chest wall. Idiopathic hypereosinophilic syndrome was confirmed by bone marrow aspiration biopsy and skin lesion biopsy after exclusion of all possible secondary etiologies. The clinical status and chest radiographs showed marked improvement after treatment with corticosteroids.
我们报告一例47岁男性的嗜酸性粒细胞增多综合征，其最初表现为急性气胸。外周血嗜酸性粒细胞计数在1个月内持续升高，并伴有肺部改变及右胸壁皮肤病变。在排除所有可能的继发病因后，通过骨髓穿刺活检和皮肤病变活检确诊为特发性嗜酸性粒细胞增多综合征。使用皮质类固醇治疗后，临床状况和胸部X光片显示明显改善。
