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嗜酸性粒细胞性肠炎伴复发性急性胰腺炎一例

邹龙 王强 吴晰 王志伟 杨爱明

邹龙, 王强, 吴晰, 王志伟, 杨爱明. 嗜酸性粒细胞性肠炎伴复发性急性胰腺炎一例[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2021-0803
引用本文: 邹龙, 王强, 吴晰, 王志伟, 杨爱明. 嗜酸性粒细胞性肠炎伴复发性急性胰腺炎一例[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2021-0803
ZOU Long, WANG Qiang, WU Xi, WANG Zhiwei, YANG Aiming. A Case of Eosinophilic Enteritis Accompanied with Recurrent Acute Pancreatitis[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2021-0803
Citation: ZOU Long, WANG Qiang, WU Xi, WANG Zhiwei, YANG Aiming. A Case of Eosinophilic Enteritis Accompanied with Recurrent Acute Pancreatitis[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2021-0803

嗜酸性粒细胞性肠炎伴复发性急性胰腺炎一例

doi: 10.12290/xhyxzz.2021-0803
基金项目: 

北京市重点建设一流专业项目(2021zlgc1106)

详细信息
    通讯作者:

    王强,E-mail:pekingunion@aliyun.com

  • 中图分类号: R576;R593.1;R593.2

A Case of Eosinophilic Enteritis Accompanied with Recurrent Acute Pancreatitis

  • 摘要: 本文报道一例有阿司匹林加重性呼吸系统疾病病史的患者,出现嗜酸性粒细胞性肠炎及复发性急性胰腺炎。此病例有多系统受累的临床表现及嗜酸性粒细胞浸润的组织学表现,故临床疑诊为嗜酸性肉芽肿性多血管炎,而此病出现胰腺炎表现的病例报道少见。另外,患者出现胰腺假性囊肿,在囊肿穿刺引流后出现迟发假性动脉瘤出血,经血管造影栓塞治疗后成功止血,术后1 年复查病情稳定。在诊断和处理的过程中有许多值得学习之处,故在此报导。
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    [2] Mathew G,Ahmad H. Pancreatic Pseudoaneurysm[M]. Treasure Island (FL):StatPearls Publishing Copyright © 2020,StatPearls Publishing LLC.,2020.
    [3] Baek MS,Mok YM,Han WC, et al. A patient with eosinophilic gastroenteritis presenting with acute pancreatitis and ascites[J]. Gut Liver,2014,8:224-227.
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    [5] Samter M, Beers RF, Jr. Intolerance to aspirin. Clinical studies and consideration of its pathogenesis[J]. Ann Intern Med,1968,68:975-983.
    [6] Pesek RD,Reed CC,Muir AB, et al. Increasing Rates of Diagnosis, Substantial Co-Occurrence, and Variable Treatment Patterns of Eosinophilic Gastritis, Gastroenteritis, and Colitis Based on 10-Year Data Across a Multicenter Consortium[J]. Am J Gastroenterol,2019,114:984-994.
    [7] Itawaki A,Okada M,Kawashima K, et al. Eosinophilic Granulomatosis with Polyangiitis Initially Diagnosed as Eosinophilic Gastroenteritis[J]. Intern Med,2020,59:1029-1033.
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    [10] Ball LL,Velasquez SA,Al Jammal OM, et al. Atypical eosinophilic granulomatosis with polyangiitis with spontaneous aspirin reactivity and immunoglobulin E-mediated anaphylaxis[J]. Ann Allergy Asthma Immunol,2021,127:506-507.
    [11] Ameratunga R, Steele R. Eosinophilic granulomatosis with polyangiitis (Churg-Strauss vasculitis) presenting as Samter's triad[J]. J Allergy Clin Immunol Pract,2018,6:280-282.
    [12] Yagi H,Takahashi S,Kibe T, et al. An Autopsy Case of a 5-Year-Old Child with Acute Pancreatitis Caused by Eosinophilic Granulomatosis with Polyangiitis-like Necrotizing Vasculitis[J]. Case Rep Rheumatol,2019,2019:9053747.
    [13] Marvisi M, Uccelli M. A huge pancreatic cyst in eosinophilic granulomatosis with polyangitis[J]. Rheumatology (Oxford),2021,60:4443.
    [14] Berti A,Boukhlal S,Groh M, et al. Eosinophilic granulomatosis with polyangiitis:the multifaceted spectrum of clinical manifestations at different stages of the disease[J]. Expert Rev Clin Immunol,2020,16:51-61.
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  • 被引次数: 0
出版历程
  • 收稿日期:  2021-12-27
  • 网络出版日期:  2022-03-09

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