Martínez Albaladejo M, Alguacil García G, González Pina B, de Paco Moya M, Herranz Marín T, Moreno-Requena J
Servicio de Medicina Interna, Hospital Comarcal del Noroeste, Murcia.
An Med Interna. 1997 Apr;14(4):187-9.
Eosinophilic gastroenteritis is an uncommon disorder, characterised by eosinophilic infiltration of gut wall, with variable clinical features, depending affected layer of the wall and digestive area, but usually consisting in abdominal pain, diarrhoea, and vomiting. Etiopathogenesis is unknown, with a frequent allergic condition and good response to corticosteroids therapy. Although the existence of eosinophilic gastroenteritis may be suggested by abdominal manifestations, an allergic history with laboratory date and ESR normal, only the antral or intestinal biopsy might to confirm the diagnostic. We report a case of a patient with eosinophilic gastroenteritis and history of bronchial asthma, without evidence of intestinal parasitosis, and a spectacular response to corticosteroids therapy.
嗜酸性胃肠炎是一种罕见的疾病,其特征是肠壁有嗜酸性粒细胞浸润,临床特征多样,取决于肠壁受累的层次和消化区域,但通常表现为腹痛、腹泻和呕吐。病因发病机制尚不清楚,常伴有过敏情况,对皮质类固醇治疗反应良好。虽然腹部表现可能提示嗜酸性胃肠炎的存在,有过敏史且实验室检查结果和血沉正常,但只有胃窦或肠道活检才能确诊。我们报告一例患有嗜酸性胃肠炎且有支气管哮喘病史的患者,无肠道寄生虫病证据,对皮质类固醇治疗有显著反应。