儿童嗜酸粒细胞性膀胱炎1例报告并文献复习
|
摘要
目的:探讨儿童嗜酸粒细胞性膀胱炎临床特征及诊治要点。方法:回顾分析1例嗜酸粒细胞性膀胱炎患儿的临床资料,并进行诊断性治疗,随访患儿病情转归情况。并复习嗜酸粒细胞性膀胱炎相关文献。结果:患儿,女,7岁,临床表现为尿频、尿急、尿痛及夜尿增多,血常规提示嗜酸粒细胞明显升高,给予糖皮质激素及抗过敏治疗后,患儿临床症状缓解,复查血常规提示嗜酸粒细胞降低。结论:对于临床以尿路刺激症状为主要表现结合嗜酸粒细胞升高患儿需警惕儿童嗜酸粒细胞性膀胱炎。
Objective: To probe into the clinical features,diagnosis and treatment of children with eosinophilic cystitis.Methods: The clinical data of one child with eosinophilic cystitis were retrospectively analyzed and diagnosed.The outcome of the child was followed up.The literature on eosinophilic cystitis was also reviewed.Results: A 7-year-old female child presented with frequent urination,urgency,painful urination and increased nocturia,and eosinophils were significantly increased by blood routine examination. After glucocorticoid and anti-allergy treatment,the clinical symptoms of the child were relieved,and the blood routine examination showed decreased eosinophils.Conclusion: For children with clinical urinary tract irritation as the main manifestation combined with elevated eosinophils,the eosinophilic cystitis should be noticed.
Objective: To probe into the clinical features,diagnosis and treatment of children with eosinophilic cystitis.Methods: The clinical data of one child with eosinophilic cystitis were retrospectively analyzed and diagnosed.The outcome of the child was followed up.The literature on eosinophilic cystitis was also reviewed.Results: A 7-year-old female child presented with frequent urination,urgency,painful urination and increased nocturia,and eosinophils were significantly increased by blood routine examination. After glucocorticoid and anti-allergy treatment,the clinical symptoms of the child were relieved,and the blood routine examination showed decreased eosinophils.Conclusion: For children with clinical urinary tract irritation as the main manifestation combined with elevated eosinophils,the eosinophilic cystitis should be noticed.
引文
[1]PALUBINSKAS A J.Eosinophilic cystitis:Case report of eosinophilic infiltration of the urinary bladder[J].Radiology,1960,75(4):589-591.
[2]BROWNE W.Eosinophilic granuloma of the bladder[J].J Urol,1960,83(10):665-668.
[3]武建军,董隽,曾强,等.嗜酸粒细胞性膀胱炎1例并国内文献179例临床特征分析[J].疑难病杂志,2015,14(10):1059-1063.
[4]SPARKS S,KAPLAN A,DECAMBRE M,et al.Eosinophilic cystitis in the pediatric population:A case series and review of the literature[J].J Pediatr Urol,2013,9(6 Pt A):738-744.
[5]KUMAR S,SHARMA V,GANESAMONI R,et al.Eosinophilic cystitis mimicking tuberculosis:An analysis of five cases with review of literature[J].Urol Ann,2013,5(1):50-52.
[6]高光霞,王文军,史红文,等.膀胱癌并发嗜酸粒细胞性膀胱炎2例及文献复习[J].中国现代医生,2010,48(14):159-160.
[7]GANG L,BING C,HUALIN S,et al.Clinical and radiological character of eosinophilic cystitis[J].Int J Clin Exp Med,2015,8(1):533-539.
[8]POPESCU O E,LANDAS S K.The spectrum of eosinophilic cystitis in males:Case series and literature review[J].Arch Pathol Lab Med,2009,133(2):289-294.
[9]JASON G.World Health Organization-defined eosinophilic disorders:2015 update on diagnosis,risk stratification,and management[J].Am J Hematol,2015,90(11):1077-1089.
[10]周锦,王国丽,伏利兵,等.儿童高嗜酸粒细胞综合征13例临床分析[J].中国实用儿科杂志,2016,31(7):528-532.
[11]赵暮迎,李维,张乾忠,等.3种不同病因嗜酸粒细胞增多症临床分析[J].中国实用儿科杂志,2014,29(12):956-959.
[12]POMERANZ A,ELIAKIM A,UZIEL Y,et al.Eosinophilic cystitis in a 4-year-old boy:Successful long-term treatment with cyclosporin A[J].Pediatrics,2001,108(6):E113.
[13]VERHAGEN P C,NIKKELS P G,DE JONG T P.Eosinophilic cystitis[J].Arch Dis Child,2001,84(4):344-346.
[2]BROWNE W.Eosinophilic granuloma of the bladder[J].J Urol,1960,83(10):665-668.
[3]武建军,董隽,曾强,等.嗜酸粒细胞性膀胱炎1例并国内文献179例临床特征分析[J].疑难病杂志,2015,14(10):1059-1063.
[4]SPARKS S,KAPLAN A,DECAMBRE M,et al.Eosinophilic cystitis in the pediatric population:A case series and review of the literature[J].J Pediatr Urol,2013,9(6 Pt A):738-744.
[5]KUMAR S,SHARMA V,GANESAMONI R,et al.Eosinophilic cystitis mimicking tuberculosis:An analysis of five cases with review of literature[J].Urol Ann,2013,5(1):50-52.
[6]高光霞,王文军,史红文,等.膀胱癌并发嗜酸粒细胞性膀胱炎2例及文献复习[J].中国现代医生,2010,48(14):159-160.
[7]GANG L,BING C,HUALIN S,et al.Clinical and radiological character of eosinophilic cystitis[J].Int J Clin Exp Med,2015,8(1):533-539.
[8]POPESCU O E,LANDAS S K.The spectrum of eosinophilic cystitis in males:Case series and literature review[J].Arch Pathol Lab Med,2009,133(2):289-294.
[9]JASON G.World Health Organization-defined eosinophilic disorders:2015 update on diagnosis,risk stratification,and management[J].Am J Hematol,2015,90(11):1077-1089.
[10]周锦,王国丽,伏利兵,等.儿童高嗜酸粒细胞综合征13例临床分析[J].中国实用儿科杂志,2016,31(7):528-532.
[11]赵暮迎,李维,张乾忠,等.3种不同病因嗜酸粒细胞增多症临床分析[J].中国实用儿科杂志,2014,29(12):956-959.
[12]POMERANZ A,ELIAKIM A,UZIEL Y,et al.Eosinophilic cystitis in a 4-year-old boy:Successful long-term treatment with cyclosporin A[J].Pediatrics,2001,108(6):E113.
[13]VERHAGEN P C,NIKKELS P G,DE JONG T P.Eosinophilic cystitis[J].Arch Dis Child,2001,84(4):344-346.