伴有多分叶粒细胞和中性粒细胞增多而无嗜酸性粒细胞增多的嗜酸性粒细胞性心肌炎：一例酷似中性粒细胞性心肌炎的病例

Eosinophilic Myocarditis With Hypersegmented Granulocytes and Neutrophilia Without Eosinophilia: A Case Mimicking Neutrophilic Myocarditis.

作者信息

Hashimoto Hirotsugu, Hashikata Takehiro, Shindo Akito, Horiuchi Hajime

机构信息

1 NTT Medical Center Tokyo, Tokyo, Japan.

出版信息

Int J Surg Pathol. 2018 Oct;26(7):635-636. doi: 10.1177/1066896918766669. Epub 2018 Apr 6.

DOI:10.1177/1066896918766669

PMID:29623745

Abstract

We report a case of a 78-year-old woman with neutrophilia without eosinophilia who was pathologically diagnosed with eosinophilic myocarditis by myocardial biopsy. The biopsy specimen showed infiltrating granulocytes with hypersegmentation, mimicking neutrophils; however, they were confirmed to be eosinophils by Giemsa staining.

摘要

我们报告一例78岁女性患者，其表现为中性粒细胞增多而无嗜酸性粒细胞增多，经心肌活检病理诊断为嗜酸性粒细胞性心肌炎。活检标本显示有核分叶过多的浸润性粒细胞，类似中性粒细胞；然而，经吉姆萨染色证实它们为嗜酸性粒细胞。