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嗜酸性胃肠炎的免疫学研究以及色甘酸钠和二丙酸倍氯米松的治疗

Immunological studies of eosinophilic gastro-enteritis and treatment with disodium cromoglycate and beclomethasone dipropionate.

作者信息

Elkon K B, Sher R, Seftel H C

出版信息

S Afr Med J. 1977 Nov 12;52(21):838-41.

PMID:416498
Abstract

A 45-year-old woman with intestinal malabsorption due to eosinophilic gastro-enteritis was found to have markedly fluctuating total serum IgE levels with a positive intradermal skin test and a positive radio-allergosorbent test to milk antigen. No organ-specific or non-organ-specific auto-antibodies were detected in the patient's serum, and her complement profile was normal. Low doses of disodium cromoglycate failed to improve intestinal absorption, whereas a 16-day course of a corticosteroid, beclomethasone dipropionate 3 mg daily, improved D-xylose and carotene absorption without suppressing the hypothalamic-pituitary-adrenal axis.

摘要

一名45岁因嗜酸性胃肠炎导致肠道吸收不良的女性,其血清总IgE水平显著波动,对牛奶抗原的皮内皮肤试验和放射变应原吸附试验呈阳性。患者血清中未检测到器官特异性或非器官特异性自身抗体,其补体谱正常。低剂量色甘酸钠未能改善肠道吸收,而为期16天的皮质类固醇丙酸倍氯米松每日3毫克的疗程改善了D-木糖和胡萝卜素的吸收,且未抑制下丘脑-垂体-肾上腺轴。

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