嗜酸性粒细胞性胃肠炎一例报道并文献复习
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摘要
嗜酸性粒细胞性胃肠炎常与过敏原引起机体产生的变态反应有关,以胃壁或肠壁嗜酸粒细胞浸润、外周血嗜酸粒细胞增多为特征。临床表现为恶心、呕吐、腹痛、腹泻等,症状多与嗜酸粒细胞浸润的部位和深度有关。本文报道1例嗜酸性粒细胞性胃肠炎病例,并结合国内外相关文献进行分析。
The pathogenesis of eosinophilic gastroenteritis is usually associated with allergy,characterized by infiltration of eosinophils in the stomach or the intestinal tract accompanying with peripheral blood eosinophilia.The clinical manifestations include nausea,vomiting,abdominal pain,diarrhea and other non-specific gastrointestinal symptoms.Clinical symptoms are often related with the sites and depth of eosinophils infiltration.We reported one case of eosinophilic gastroenteritis and reviewed the relevant literature.
The pathogenesis of eosinophilic gastroenteritis is usually associated with allergy,characterized by infiltration of eosinophils in the stomach or the intestinal tract accompanying with peripheral blood eosinophilia.The clinical manifestations include nausea,vomiting,abdominal pain,diarrhea and other non-specific gastrointestinal symptoms.Clinical symptoms are often related with the sites and depth of eosinophils infiltration.We reported one case of eosinophilic gastroenteritis and reviewed the relevant literature.
引文
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[3]杨落落,孙逊,时阳,等.嗜酸性粒细胞性胃肠炎2例分析并文献回顾[J].胃肠病学和肝病学杂志,2013,22(3):270-272.DOI:10.3969/j.issn.1006-5709.2013.03.025.YANG L L,SUN X,SHI Y,et al.Analysis and literature review of two cases of eosinophil gastroenteritis[J].Chin J Gastroenterol Hepatol,2013,22(3):270-272.DOI:10.3969/j.issn.1006-5709.2013.03.025.
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[6]张彦军,袁得峰,张正聪,等.嗜酸性细胞性胃肠炎的临床特征与诊治分析[J].甘肃医药,2016,35(7):523-525.ZHANG Y J,YUAN D F,ZHANG Z C,et al.Analysis of clinical features and treatment of eosinophil gastroenteritis[J].Gansu Medical Journal,2016,35(7):523-525.
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[13]TALLEY N J.Gut eosinophilic in food allergy and systemic and autoimmune diseases[J].Gastroenterol Clin North Am,2008,37(2):307-332.DOI:10.1016/j.gtc.2008.02.008.
[14]MAIS L,GALOO E,NIBAUD A,et al.Complicated course of eosinophilic gastroenteritis:a case report and literature review[J].Rev Med Interne,2014,35(10):683-685.
[15]唐密,张菊英,冉毅敏.嗜酸粒细胞性胃肠炎11例诊治体会[J].疑难病杂志,2008,7(4):244.DOI:10.3969/j.issn.1671-6450.2008.04.030.
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[17]郭锐芳,李宏亮,胡燕梅,等.嗜酸性粒细胞性胃肠炎254例分析[J].宁夏医科大学学报,2016,38(7):819-821.DOI:10.16050/j.cnki.issn.1674-6309.2016.07.026.GUO R F,LI H L,HU Y M,et al.Analysis of 254 cases with eosinophilic gastroenteritis[J].Journal of Ningxia Medical University,2016,38(7):819-821.DOI:10.16050/j.cnki.issn.1674-6309.2016.07.026.
[18]GARRETT J K,JAMESON S C,THOMSON B,et al.Antiinterleukin-5(mepolizumab)therapy for hypereosinophilic syndromes[J].J Allergy Clin Immunol,2004,113(1):115-119.DOI:10.1016/J.JACI.2003.10.049.
[19]BABU K S,POLOSA R,MORJARIA J B.Anti-Ig Eemerging opportunities for Omalizumab[J].Expert Opin Biol Ther,2013,13(5):765-777.DOI:10.1517/14712598.2013.782391.
[20]黄雷,刘爱民,戴宇文,等.儿童过敏性紫癜760例临床分析[J].中华皮肤科杂志,2015,48(1):11-14.DOI:10.3760/cma.j.issn.0412-4030.2015.01.005.HUANG L,LIU A M,DAI Y W,et al.Clinical analysis of childhood anaphylactoid purpura:report of 760 cases[J].Chin J Dermatol,2015,48(1):11-14.DOI:10.3760/cma.j.issn.0412-4030.2015.01.005.
[21]丁艳,尹薇,何学莲,等.儿童过敏性紫癜急性期免疫功能探讨[J].中国免疫学杂志,2013,29(5):518-525.DOI:10.3969/j.issn.1000-484X.2013.05.015.DING Y,YIN W,HE X L,et al.Exploration of immune function in acute phase in children with Henoch-Sch?nlein purpura[J].Chinese Journal of Immunology,2013,29(5):518-525.DOI:10.3969/j.issn.1000-484X.2013.05.015.
[22]袁芳,金艳樑.儿童过敏性紫癜研究进展[J].临床儿科杂志,2013,31(3):287-290.DOI:10.3969/j.issn.1000-3606.2013.03.024.YUAN F,JIN Y L.The research progress of pediatric HenochSch?nlein purpura[J].J Clin Pediatr,2013,31(3):287-290.DOI:10.3969/j.issn.1000-3606.2013.03.024.
[23]CHEN X L,TIAN H,LI J Z,et al.Paroxysmal drastic abdominal pain with tardive cutaneous lesions presenting in Henoch-Sch?nlein purpura[J].World J Gastroenterol,2012,18(16):1992-1995.DOI:10.3748/wjg.v18.i16.1991.
[24]中华医学会儿科学分会免疫学组.儿童过敏性紫癜循证诊治建议[J].中华儿科杂志,2013,51(7):502-507.DOI:10.3760/cma.j.issn.0578-1310.2013.07.006.
[25]RIGANTE D,CANDELLI M,FEDERICO G,et al.Predictive factors of renal involvement or relapsing disease in children with Henoch-Sch?nlein purpura[J].Rheumatol Int,2005,25(1):45-48.DOI:10.1007/s00296-004-0452-2.
[26]李锁兰,刘方.克罗恩病误诊为肠结核1例[J].疑难病杂志,2005,4(6):372-372.DOI:10.3969/j.issn.1671-6450.2005.06.033.
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