Tien Manh Huynh, Nhu Thi Hanh Vu, Tran Thi Luong Vo, Duy Le Pham, Phat Tan Ho, Duc Trong Quach
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引用次数: 0
摘要
嗜酸性粒细胞性胃肠炎给诊断带来了巨大挑战,尤其是在发展中国家,人们对这种疾病的认识可能有限。这里报告的病例是一名 30 岁出头的患者,反复发作腹痛和腹泻。最初的标准实验室检查显示全血细胞计数正常,血清总免疫球蛋白 E 水平升高。上、下内窥镜评估和系统活检未发现任何明显异常。然而,计算机断层扫描显示小肠壁增厚、晕轮征和轻度腹水。腹水分析证实了嗜酸性粒细胞增多。这些结果提示了嗜酸性粒细胞性胃肠炎的诊断。患者对有针对性的消除饮食、皮质类固醇和抗白三烯药物反应良好。本病例强调了在对出现腹痛和嗜酸性粒细胞腹水的患者进行鉴别诊断时考虑嗜酸性粒细胞胃肠炎的重要性。
Eosinophilic ascites and enteritis: a neglected case report from Vietnam.
Eosinophilic gastroenteritis poses a significant diagnostic challenge, particularly in developing countries, where the awareness of this condition may be limited. Here, the case of a patient in her early 30s, who presented with recurrent episodes of abdominal pain and diarrhea, is reported. Initial standard laboratory investigations revealed normal complete blood counts and elevated total serum immunoglobulin E levels. Upper and lower endoscopic evaluations with systemic biopsies did not reveal any significant abnormalities. However, computed tomography revealed a thickened small intestine wall, halo signs, and mild ascites. Analysis of the ascitic fluid confirmed eosinophilia. These findings prompted a diagnosis of eosinophilic gastroenteritis. The patient responded well to a targeted elimination diet, corticosteroids, and antileukotriene medication. The present case emphasizes the importance of considering eosinophilic gastroenteritis in the differential diagnosis of patients who present with abdominal pain and eosinophilic ascites.
期刊介绍:
_Journal of International Medical Research_ is a leading international journal for rapid publication of original medical, pre-clinical and clinical research, reviews, preliminary and pilot studies on a page charge basis.
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Print ISSN: 0300-0605