Hokland B M, Halvorsen T, Bengtson M B, Laane B, Haarberg G
Kirurgisk avdeling, Vestfold sentralsykehus, Tønsberg.
Tidsskr Nor Laegeforen. 1993 Aug 10;113(18):2250-1.
We describe the case of a 33 year-old woman who was hospitalized for ascites, abdominal pain and food allergy. Blood samples and histologic examination of a jejunal specimen removed by laparotomy revealed that the patient suffered from eosinophilic gastroenteritis. This disease is classified among the hypereosinophilic syndromes, and food allergy may be of etiologic importance. Clinically eosinophilic gastroenteritis may present with ascites, malabsorption or gut obstruction. The eosinophilic blood cell count is usually elevated and the erythrocyte sedimentation rate is usually normal or slightly increased. Polyarteritis nodosa, Crohn's disease and nematodal infections of the gut must be excluded. Most patients respond well to corticosteroid therapy and the long-term prognosis is good, even though the disease is chronic in nature.
我们描述了一名33岁女性的病例，她因腹水、腹痛和食物过敏入院。通过剖腹术获取的空肠标本的血液样本和组织学检查显示，该患者患有嗜酸性粒细胞性胃肠炎。这种疾病归类于嗜酸性粒细胞增多综合征，食物过敏可能具有病因学意义。临床上，嗜酸性粒细胞性胃肠炎可能表现为腹水、吸收不良或肠梗阻。嗜酸性血细胞计数通常升高，红细胞沉降率通常正常或略有升高。必须排除结节性多动脉炎、克罗恩病和肠道线虫感染。尽管该疾病本质上是慢性的，但大多数患者对皮质类固醇治疗反应良好，长期预后良好。
