嗜酸性粒细胞增多综合征:一例报告

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Journal of Health and Allied Sciences NU Pub Date : 2023-08-24 DOI:10.1055/s-0043-1772743
Mansi Patel, Divit Shah, Sujal G Patel, S. Acharya, S. Sushanth Kumar, S. Shukla
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引用次数: 0

摘要

摘要:高嗜酸性粒细胞综合征是一种骨髓增生性疾病,其特征是存在嗜酸性细胞增多症,即嗜酸性细胞绝对水平超过1500/µL,持续时间不少于6个月,没有公认的嗜酸性细胞增生原因,且有明确的器官受累特征。但是,在某些情况下,患者因严重症状需要治疗以减少嗜酸性粒细胞计数,较短的嗜酸性粒增多期也是可以接受的。在这个病例系列中,我们纳入了三个病例,其中第一个病例表现为腹泻、恶心和食欲下降,接受了结肠镜检查,并被诊断为嗜酸性结肠炎。第二名患者是一名女性,患有腹痛和灼热性排尿,在血液计数检查中出现嗜酸性粒细胞增多症,被诊断为嗜酸性膀胱炎。第三例为年轻女性,经二维超声心动图诊断为嗜酸性心内膜炎,伴有呼吸困难和皮疹,血涂片嗜酸性粒细胞计数高。所有三名患者都开始服用类固醇,药物治疗后恢复良好,7天后出院随访,血细胞计数完全。
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Hypereosinophilia Syndrome: Myriad Presentation—A Case Report
Abstract Hypereosinophilic syndrome is a myeloproliferative disorder that is distinguished with the presence of eosinophilia, which is an absolute eosinophil level of more than 1500/µL for no less than 6 months, no recognized cause for eosinophilia, and clear organ involvement characteristics. But, in some cases where patients require therapy to decrease eosinophil counts due to severe symptoms, a lower time period of hypereosinophilic is also admissible. In this case series, we have included three cases in which first case presented with the features of diarrhea, nausea, and decreased appetite who underwent colonoscopy and was diagnosed as a case of eosinophilic colitis. The second patient was a female came with abdominal pain and burning micturition, who was having eosinophilia on blood count examination and was diagnosed as a case of eosinophilic cystitis. Third case was young female who was diagnosed as eosinophilic endocarditis on two-dimensional echocardiography having dyspnea and rash and high eosinophil count on blood smear. All the three patients were started on steroids, who recovered well with medication and were discharged for follow-up after 7 days with complete blood count.
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来源期刊
Journal of Health and Allied Sciences NU
Journal of Health and Allied Sciences NU MEDICINE, GENERAL & INTERNAL-
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85
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