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題 名 | Eosinophilic Gastroenteritis Involving the Distal Small Intestine and Proximal Colon=侵襲到遠端小腸及近端大腸之嗜伊紅性胃腸炎 |
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作 者 | 王元耀; 許家彰; 張簡吉幸; 盧勝男; 黃純真; | 書刊名 | 長庚醫學 |
卷 期 | 25:1 2002.01[民91.01] |
頁 次 | 頁56-61 |
分類號 | 415.524 |
關鍵詞 | 嗜伊紅性胃腸炎; Eosinophilic gastroenteritis; |
語 文 | 英文(English) |
中文摘要 | 嗜伊紅性胃腸炎是種不常見之疾病。它的特徵為組織學上有消化道之嗜伊紅性白血球浸潤,同時臨床上有腸胃道症狀。這種不常見之疾病通常好發於胃及近端小腸,而粘膜層疾病是其最常見的一種疾病型態。我們報告一個臨床症狀包括水瀉、腹痛及體重下降的嗜伊紅性胃腸炎病例。大腸鏡檢查發現近端大腸之非特異性大腸炎;小腸攝影顯示有瀰漫性的空腸擴張及僵硬,伴隨有腸壁肥厚的現象;腹部電腦斷層掃描也顯示腸壁增厚及部份腸梗阻和腹水。經由內視鏡切片及抽取腹水檢查,同時排除寄生蟲感染之可能性,診斷得以確立。類固醇治療獲得戲劇性的良好反應。遇到任何嗜伊紅性血球過多合併有胃腸症狀的病例時,必須要有高度的懷疑心,才有可能早期診斷這種不尋常的疾病。 |
英文摘要 | Eosinophilic gastroenterities (EG) is an unusual disorder. It is characterized by eosinophil infiltration of the gut wall histologically and is manifested by gastrointestinal (GI) symptoms clinically. This disease entity preferentially affects the stomach and proximal small intestine. Mucosal layer disease is the most common form of this uncommon disease. We present a case of EG with transmural distal small intestinal and proximal colonic involvement whose clinical symptoms included watery diarrhea, abdominal pain, and body weight loss. Colonoscopy showed non-specific colitis in the proximal colon. Small bowel series showed diffuse jejunal dilattion with wall thickening and rigidity. Abdominal computed tomography also showed a thickened bowel wall partial ileus and ascites. Diagnosis was established through endoscopic biopsy and ascites paracentesis, while at the same time excluding the possibility of parasite infection. Treatment with prednisolone produced a dramatic response. A high index of suspicion in cases of peripheral eosinophilia with concomitant GI symptoms is needed for the early diagnosis of this uncommon disease. |
本系統中英文摘要資訊取自各篇刊載內容。