Kravis L P, South M A, Rosenlund M L
Clin Pediatr (Phila). 1982 Dec;21(12):713-7. doi: 10.1177/000992288202101202.
Eosinophilic gastroenteritis is a diagnosis to be entertained whenever a patient had abdominal complaints accompanied by striking peripheral eosinophilia. A definitive diagnosis is of greater importance in this illness, since undiagnosed cases often undergo needless exploratory surgery. An infant seen at 2 years, 10 months of age with abdominal pain, nausea, and vomiting was found to have a white blood cell count of 50,000/cu mm with 54% eosinophils and eosinophilic ascites. An antral tissue biopsy yielded a diagnosis of eosinophilic gastroenteritis after many studies had been made to exclude other diagnoses. Treatment with intermittent courses of prednisone kept the patient relatively asymptomatic over the period of 20 years during which she remained under our care. Immunologic studies shed no light on the etiology of this patient's disorder. The literature dealing with diffuse, infiltrative eosinophilic gastroenteritis is reviewed.
只要患者有腹部不适并伴有明显的外周血嗜酸性粒细胞增多，就应考虑嗜酸性胃肠炎的诊断。在这种疾病中，明确诊断尤为重要，因为未确诊的病例常常接受不必要的 exploratory 手术。一名2岁10个月大的婴儿，出现腹痛、恶心和呕吐，白细胞计数为50,000/立方毫米，嗜酸性粒细胞占54%，并有嗜酸性腹水。在进行了多项研究以排除其他诊断后，胃窦组织活检确诊为嗜酸性胃肠炎。在我们对其进行20年的护理期间，间歇性使用泼尼松治疗使患者相对无症状。免疫学研究未能揭示该患者疾病的病因。本文对弥漫性、浸润性嗜酸性胃肠炎的文献进行了综述。
