호산구증다증과 동반된 비삽화성 혈관부종의 1예

최 지웅, 박 소영, 문 경태, 이 원미, 이 병훈, 김 상훈
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Abstract

Nonepisodic angioedema with eosinophilia (NEAE) is a rare disease characterized by nonrecurrent angioedema with eosinophilia and normal serum IgM levels occurring predominantly in an East Asian female population. A 49-year-old male patient visited our clinic due to swelling of both the scrotums and the lower extremities, and fever. He had history of nasal polyp, cephalosporin allergy, and asthma. He was diagnosed as having NEAE and was treated with systemic corticosteroid, then he was symptom-free for more than 8 months. He had been administered omalizumab for 3 months due to uncontrolled asthma prior to the onset of angioedema which had helped taper the oral corticosteroid, and this may be associated with presentation of NEAE. Here, we report a case of NEAE in a male patient which presented with constitutional symptoms such as fever and scrotal edema. (Allergy Asthma Respir Dis 2021;9:46-49)
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一种非插画性血管水肿伴有嗜酸性粒细胞增多症
非发作性血管性水肿伴嗜酸性粒细胞增多(NEAE)是一种罕见的疾病,以非复发性血管性水肿伴嗜酸性粒细胞增多和血清IgM水平正常为特征,主要发生在东亚女性人群中。患者男,49岁,因阴囊及下肢肿胀及发热就诊。有鼻息肉史、头孢菌素过敏史、哮喘史。经诊断为NEAE,全身性皮质类固醇治疗后症状消失8个多月。在血管性水肿发作之前,由于哮喘不受控制,他服用了3个月的奥玛珠单抗,这有助于减少口服皮质类固醇,这可能与NEAE的出现有关。在此,我们报告一例NEAE的男性患者,其表现为发热和阴囊水肿等体质症状。(过敏哮喘呼吸疾病2021;9:46-49)
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