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一例伴有指端缺血的嗜酸性粒细胞增多症患者经静脉注射前列腺素E成功治愈。

A case of hypereosinophilia with digital ischaemia successfully treated with intravenous prostaglandin E.

作者信息

Kaga M, Takeuchi H, Iwahara K, Ihara H

机构信息

Division of Dermatology Koto Hospital Tokyo Japan.

Department of Dermatology and Allergology Faculty of Medicine, Graduate School of Medicine, Juntendo University Tokyo Japan.

出版信息

Skin Health Dis. 2021 May 3;1(2):e32. doi: 10.1002/ski2.32. eCollection 2021 Jun.

Abstract

In the therapeutic management of eosinophilic disorder, it is important to prevent hypereosinophilia (HE)-related organ damage even in the process of diagnosis. We describe here a unique clinical and histopathological findings of the patient with HE accompanied with digital ischaemia. Treatment with intravenous prostaglandin E was essential for digital ischaemia in our case while benralizumab, humanized monoclonal antibody against interleukin-5 receptorα, did not affect. Our case suggests an earlier intervention for digital ischaemia in the therapeutic management of eosiniphilic disorder.

摘要

在嗜酸性粒细胞增多症的治疗管理中,即使在诊断过程中预防与嗜酸性粒细胞增多(HE)相关的器官损伤也很重要。我们在此描述了一例伴有手指缺血的HE患者独特的临床和组织病理学表现。在我们的病例中,静脉注射前列腺素E对手指缺血的治疗至关重要,而抗白细胞介素-5受体α的人源化单克隆抗体贝那利珠单抗则没有效果。我们的病例表明,在嗜酸性粒细胞增多症的治疗管理中,应尽早对手指缺血进行干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce72/9060027/847c00830de9/SKI2-1-e32-g002.jpg

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