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嗜酸性肌间神经节炎:一名14岁男性病例。

Eosinophilic myenteric ganglionitis: A case in a 14-year-old-male.

作者信息

Price Anthony, Rastegarlari Tandis, Khowaja Sanober, Thompson Kade, Lahiji Arian P, Felicella Michelle M, He Jing, Goodwin Annie

机构信息

John Sealy School of Medicine The University of Texas Medical Branch at Galveston Galveston Texas USA.

Present address: 1005 Harborside Drive Galveston 77555 Texas USA.

出版信息

JPGN Rep. 2024 Jul 8;5(3):389-393. doi: 10.1002/jpr3.12108. eCollection 2024 Aug.

DOI:10.1002/jpr3.12108
PMID:39149171
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11322025/
Abstract

Chronic intestinal pseudo-obstruction (CIPO) is a rare, severe, and often debilitating condition that can result in significant morbidity and mortality amongst the pediatric population. Eosinophilic myenteric ganglionitis (EMG) is a rare inflammatory neuropathy of the myenteric plexus with characteristic eosinophilic infiltration with and without hypogangliosis. The disorder has been previously documented as a cause of CIPO. We report the case of a 14-year-old male with no clear obstructive cause who, after multiple visits with a myriad of tests and workups, underwent surgical exploratory laparoscopy with the pathology returning a diagnosis of EMG with unique lymphocytic and eosinophilic cell components.

摘要

慢性肠道假性梗阻(CIPO)是一种罕见、严重且常使人衰弱的病症,可导致儿科人群出现显著的发病率和死亡率。嗜酸性肌间神经节炎(EMG)是一种罕见的肌间神经丛炎性神经病变,具有特征性的嗜酸性浸润,伴或不伴有神经节减少。该病症先前已被记录为CIPO的一个病因。我们报告了一例14岁男性病例,其无明确的梗阻原因,在多次就诊并进行了大量检查和诊断后,接受了手术探查性腹腔镜检查,病理结果显示为具有独特淋巴细胞和嗜酸性细胞成分的EMG诊断。

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Eosinophilic myenteric ganglionitis: A case in a 14-year-old-male.嗜酸性肌间神经节炎:一名14岁男性病例。
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本文引用的文献

1
A Review of Anti-IL-5 Therapies for Eosinophilic Granulomatosis with Polyangiitis.嗜酸性肉芽肿性多血管炎的抗白细胞介素-5疗法综述
Adv Ther. 2023 Jan;40(1):25-40. doi: 10.1007/s12325-022-02307-x. Epub 2022 Sep 24.
2
Case Report: Eosinophilic Myenteric Ganglionitis in a Child With Hirschsprung's Disease: A Challenge in Pseudo-Obstruction.病例报告:一名患有先天性巨结肠症儿童的嗜酸性肌间神经节炎:假性肠梗阻的一个挑战
Front Pediatr. 2021 Feb 4;8:617309. doi: 10.3389/fped.2020.617309. eCollection 2020.
3
Clinical and Histopathological Spectrum of Adult Gastrointestinal Inflammatory Neuropathy.
成人胃肠道炎症性神经病变的临床和组织病理学谱。
Int J Surg Pathol. 2021 May;29(3):246-256. doi: 10.1177/1066896920960515. Epub 2020 Sep 23.
4
Histological characteristics of eosinophilic myenteric ganglionitis: an under-recognised cause of chronic intestinal pseudo-obstruction.嗜酸性细胞性肌间神经节炎的组织学特征:慢性假性肠梗阻的一个被低估的原因。
Virchows Arch. 2019 Mar;474(3):395-400. doi: 10.1007/s00428-018-02513-5. Epub 2019 Jan 4.
5
Unusual Histology of Eosinophilic Myenteric Ganglionitis: A Case Report.嗜酸性肌层神经节炎的罕见组织学表现:一例报告
J Pathol Transl Med. 2017 May;51(3):320-324. doi: 10.4132/jptm.2016.09.07. Epub 2017 Apr 4.
6
Eosinophilic myenteric ganglionitis as a cause of chronic intestinal pseudo-obstruction.嗜酸性肌间神经节炎作为慢性肠道假性梗阻的一个病因
Virchows Arch. 2012 Jan;460(1):123-7. doi: 10.1007/s00428-011-1183-x. Epub 2011 Dec 16.
7
Eosinophilic myenteric ganglionitis: a case of intestinal pseudo-obstruction in a 93-year-old female.嗜酸性细胞性肌间神经节炎:一例 93 岁女性的假性肠梗阻。
J Clin Gastroenterol. 2011 Apr;45(4):314-6. doi: 10.1097/MCG.0b013e3181f5978a.
8
The London Classification of gastrointestinal neuromuscular pathology: report on behalf of the Gastro 2009 International Working Group.伦敦胃肠道神经肌肉病理学分类:胃肠 2009 国际工作组报告
Gut. 2010 Jul;59(7):882-7. doi: 10.1136/gut.2009.200444.
9
Gastrointestinal neuromuscular pathology: guidelines for histological techniques and reporting on behalf of the Gastro 2009 International Working Group.胃肠神经肌肉病理学:代表2009年胃肠国际工作组制定的组织学技术指南及报告
Acta Neuropathol. 2009 Aug;118(2):271-301. doi: 10.1007/s00401-009-0527-y. Epub 2009 Apr 10.
10
Eosinophilic myenteric ganglionitis is associated with functional intestinal obstruction.嗜酸性肌间神经节炎与功能性肠梗阻相关。
Gut. 2003 May;52(5):752-5. doi: 10.1136/gut.52.5.752.