Schultz E S, Diepgen T L, Schuler G, von den Driesch P
Dermatologische Klinik und Poliklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg.
Hautarzt. 1998 Jul;49(7):566-70. doi: 10.1007/s001050050790.
A 23-year-old patient suffered from episodic angioedema of the face and neck, accompanied by diarrhea and abdominal pain. Additionally, the patient had bronchial asthma, recurrent nasal polyps and allergic rhinoconjunctivitis. Blood examination revealed leucocytosis with eosinophilia. Histological studies showed eosinophilic infiltrates in the skin and the gastrointestinal mucosa. Allergic food reactions and parasites were ruled out. With systemic corticosteroid treatment, the clinical symptoms and the eosinophilia disappeared. This case shows some parallels to previously described syndromes (eosinophilic gastroenteritis, Samter's syndrome, episodic angioedema with eosinophilia), but to the best of our knowledge this combination of symptoms has not yet been reported.
一名23岁患者患有面部和颈部间歇性血管性水肿,伴有腹泻和腹痛。此外,该患者患有支气管哮喘、复发性鼻息肉和变应性鼻结膜炎。血液检查显示白细胞增多伴嗜酸性粒细胞增多。组织学研究显示皮肤和胃肠道黏膜有嗜酸性粒细胞浸润。排除了食物过敏反应和寄生虫感染。经全身糖皮质激素治疗后,临床症状和嗜酸性粒细胞增多消失。该病例与先前描述的综合征(嗜酸性粒细胞性胃肠炎、桑特综合征、嗜酸性粒细胞增多性间歇性血管性水肿)有一些相似之处,但据我们所知,这种症状组合尚未见报道。