Tang S, Lo C Y, Lo W K, Chan T M
Department of Medicine, Tung Wah Hospital, Hong Kong.
Am J Kidney Dis. 1997 Sep;30(3):433-6. doi: 10.1016/s0272-6386(97)90290-0.
Eosinophilic peritonitis is frequently observed in patients of all ages started on peritoneal dialysis. Peritoneal effluent may or may not become noticeably turbid, and if an aliquot for white cell count is sampled at all, eosinophils will be seen to predominate. It does not usually cause concern and settles spontaneously, many times even without the clinician noticing. Occasionally, this condition lingers on for months, and a short course of intraperitoneal hydrocortisone has been shown to be effective in clearing up the eosinophilia. We report a patient with steroid-resistant eosinophilic peritonitis and its successful resolution with ketotifen.
嗜酸性粒细胞性腹膜炎在开始腹膜透析的各年龄段患者中均较为常见。腹膜透析液可能会变得明显浑浊，也可能不会。如果对白细胞计数进行取样，会发现嗜酸性粒细胞占主导。通常情况下无需担忧，其会自行缓解，很多时候甚至临床医生都未察觉。偶尔，这种情况会持续数月，已证实短疗程的腹腔内注射氢化可的松对清除嗜酸性粒细胞增多有效。我们报告了一例对类固醇耐药的嗜酸性粒细胞性腹膜炎患者，使用酮替芬后成功治愈。
