引起腹水的不寻常原因:嗜酸性胃肠炎

Idris Kurt, Ezgi Bulut
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摘要

嗜酸性胃肠炎是一种罕见的疾病,其特征是嗜酸性细胞浸润在肠层。其病因尚不清楚。活检是准确诊断的必要条件。临床表现是多变的,可以在许多疾病中看到。没有病理表现。血清型受累是最罕见的,通常伴有腹水。在这个病例中,我们报告了一位21岁的女性患者,表现为腹痛、腹泻、呕吐和腹水。在排除组织嗜酸性粒细胞增多的广谱模拟原因后,诊断嗜酸性粒细胞性胃肠炎。病人经类固醇治疗后完全康复。
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An unusual cause of ascites: eosinophilic gastroenteritis
Eosinophilic gastroenteritis is a rare disease, characterized by eosinophilic infiltrates in the intestinal layers. Its etiology is not well known. A biopsy is mandatory for accurate diagnosis. Clinical presentation is variable and can be seen in numerous diseases. There are no pathognomonic findings. Serosal-type involvement is the rarest and usually is associated with ascites. In this case, we report a 21-year-old female patient presented with abdominal pain, diarrhoea, vomiting and ascites. Diagnosis of eosinophilic gastroenteritis was made after eliminating broad-spectrum mimicking causes of tissue eosinophilia. The patient recovered completely after treatment with steroids.
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