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嗜酸性粒细胞性肠炎:基层医疗医生应予以关注的病例。

Eosinophilic enteritis: A case for awareness among primary care physicians.

作者信息

Kubo Kimitoshi, Ashida Issei, Kimura Noriko

机构信息

Department of Gastroenterology National Hospital Organization Hakodate Medical Center Hakodate Hokkaido Japan.

Department of Pathology National Hospital Organization Hakodate Medical Center Hakodate Hokkaido Japan.

出版信息

J Gen Fam Med. 2025 Feb 14;26(4):365-367. doi: 10.1002/jgf2.70003. eCollection 2025 Jul.

Abstract

In making a presumptive diagnosis of eosinophilic enteritis prompting specialist referral, primary care physicians are advised to focus on patients' medical history, medication history, clinical course, and blood tests, while bearing in mind that a definitive diagnosis of eosinophilic enteritis requires a histopathological assessment of biopsy specimens obtained during endoscopy. Colonoscopic findings in eosinophilic enteritis of this case included redness, erosion, and edema in the ileum.

摘要

在做出嗜酸性粒细胞性肠炎的初步诊断并促使患者转诊至专科医生时,建议初级保健医生关注患者的病史、用药史、临床病程和血液检查,同时要记住,嗜酸性粒细胞性肠炎的确诊需要对在内镜检查期间获取的活检标本进行组织病理学评估。该病例嗜酸性粒细胞性肠炎的结肠镜检查结果包括回肠发红、糜烂和水肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5345/12237811/e7271825834a/JGF2-26-365-g002.jpg

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