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临床表现与内镜检查对嗜酸性食管炎早期诊断的比较:一例病例报告

Clinical presentation vs endoscopy for an early diagnosis of eosinophilic esophagitis: a case report.

作者信息

Di Stefano Michele, Grandi Giacomo, Bonaso Vera, Pagani Elisabetta, Corazza Gino Roberto, Di Sabatino Antonio

机构信息

1st Department of Internal Medicine, IRCCS "S. Matteo" Hospital Foundation, Pavia, Italy.

University of Pavia, Italy.

出版信息

EXCLI J. 2022 Mar 24;21:651-655. doi: 10.17179/excli2022-4838. eCollection 2022.

DOI:10.17179/excli2022-4838
PMID:35721577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9203986/
Abstract

Eosinophilic esophagitis (EoE) is a type-2 mediated, chronic inflammatory disease showing an increase of both incidence and prevalence. Early diagnosis is mandatory, to prevent fibrostenotic complication of the disease. Due to the low sensitivity of the classic endoscopic features of the disease, a strong clinical suspicion should drive the decision to collect mucosal biopsies of the esophagus. We describe the case of an atopic patient suffering from dysphagia with normal esophageal mucosa and frank histological hallmarks of the disease.

摘要

嗜酸性粒细胞性食管炎(EoE)是一种2型介导的慢性炎症性疾病,其发病率和患病率均呈上升趋势。早期诊断至关重要,以预防该疾病的纤维狭窄并发症。由于该疾病经典内镜特征的敏感性较低,强烈的临床怀疑应促使决定采集食管黏膜活检样本。我们描述了一例患有吞咽困难的特应性患者,其食管黏膜正常,但具有该疾病明确的组织学特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9a4/9203986/74de1e6a7902/EXCLI-21-651-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9a4/9203986/b0f53a0cec4c/EXCLI-21-651-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9a4/9203986/74de1e6a7902/EXCLI-21-651-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9a4/9203986/b0f53a0cec4c/EXCLI-21-651-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9a4/9203986/74de1e6a7902/EXCLI-21-651-g-002.jpg

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引用本文的文献

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Comment on the manuscript entitled "Clinical presentation vs endoscopy for an early diagnosis of eosinophilic esophagitis: a case report" by Di Stefano et al.对迪·斯特凡诺等人所著题为《嗜酸性粒细胞性食管炎早期诊断的临床表现与内镜检查对比:病例报告》的手稿的评论
EXCLI J. 2023 Jan 6;22:112-113. doi: 10.17179/excli2022-5695. eCollection 2023.

本文引用的文献

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Endoscopy. 2021 Sep;53(9):886-892. doi: 10.1055/a-1284-5891. Epub 2020 Dec 16.
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Implementation of a biopsy protocol to improve detection of esophageal eosinophilia: a Danish registry-based study.实施活检方案以提高食管嗜酸性粒细胞检测率:一项丹麦基于登记的研究。
Endoscopy. 2021 Jan;53(1):15-24. doi: 10.1055/a-1206-0852. Epub 2020 Aug 5.
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Measurement of Observed Eating Behaviors in Patients With Active and Inactive Eosinophilic Esophagitis.
观察性进食行为在活动期和非活动期嗜酸性粒细胞性食管炎患者中的测量。
Clin Gastroenterol Hepatol. 2019 Oct;17(11):2371-2373. doi: 10.1016/j.cgh.2018.12.011. Epub 2018 Dec 14.
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Epidemiology and Natural History of Eosinophilic Esophagitis.嗜酸性食管炎的流行病学与自然史
Gastroenterology. 2018 Jan;154(2):319-332.e3. doi: 10.1053/j.gastro.2017.06.067. Epub 2017 Aug 1.
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ACG and CAG Clinical Guideline: Management of Dyspepsia.ACG 和 CAG 临床指南:消化不良的管理。
Am J Gastroenterol. 2017 Jul;112(7):988-1013. doi: 10.1038/ajg.2017.154. Epub 2017 Jun 20.
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Eosinophilic Esophagitis.嗜酸性食管炎
N Engl J Med. 2015 Oct 22;373(17):1640-8. doi: 10.1056/NEJMra1502863.
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The increasing incidence and prevalence of eosinophilic oesophagitis outpaces changes in endoscopic and biopsy practice: national population-based estimates from Denmark.嗜酸性粒细胞性食管炎发病率和患病率的上升超过了内镜检查和活检实践的变化:丹麦基于全国人口的估计
Aliment Pharmacol Ther. 2015 Apr;41(7):662-70. doi: 10.1111/apt.13129. Epub 2015 Feb 12.
8
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