血清及び腹水中IL-5測定により病勢を追跡し得た, 好酸球性胃腸炎と思われる1例  [in Japanese] A CASE OF EOSINOPHILIC GASTROENTERITIS COMPLICATED WITH ILEUS AND ASCITES COLLECTION  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

症例は30歳女性. 1997年5月中旬頃よりの腹痛, 腹部膨満感で当院救急外来を受診. 腹部X線写真にてイレウスを疑われ, 緊急入院となった. 白血球数の増加(12300/μl)及び好酸球比率の上昇(42.5%)を認めたが, CRPは陰性であった. 腹部CTにて大量の腹水貯留及び回腸から上行結腸にかけて広範囲に腸管壁肥厚が認められた. 腹水中細胞のほとんどは好酸球であった. さらに末梢血及び腹水中IL-5が著明高値を呈した. 消化管粘膜生検では好酸球浸潤は証明されなかった. 6月3日よりプレドニゾロン50mg/日の経口投与を開始し漸減. 症状は著明に改善し末梢血好酸球数, IL-5も正常化した. これらの所見から漿膜下優位型の好酸球性胃腸炎と診断した. 鑑別には腹水中好酸球増加の確認が有用で, かつIL-5が疾患活動性の指標となりうる可能性が示唆された.

A 30-year-old woman was admitted to our hospital because of ileus and ascites. Laboratory data on admission demonstrated marked eosinophilia (42.5% of WBC) but negative CRP-value. Abdominal CT showed marked ascites and diffuse thickening of intestinal walls. Ascites examination revealed eosinophilic ascites. The level of IL-5 both in the serum and in the ascites were also high. No evidence of eosinophilic infiltration was noted both gastric and colonic mucosal biopsy specimens. Oral prednisolone treatment (50 mg/day) was effective for her. We diagnosed her as a case of sub-serosal type eosinophilic gastroenteritis. It is essential to obtain eosinophilic ascites for correct diagnosis of the disease. And it is possible that serum and ascites IL-5 value would be reliable indicator of the activity of this disease.

Journal

  • Japanese Journal of Allergology

    Japanese Journal of Allergology 48(1), 50-55, 1999

    Japanese Society of Allergology

References:  15

Cited by:  5

Codes

  • NII Article ID (NAID)
    110002406239
  • NII NACSIS-CAT ID (NCID)
    AN00012583
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    0021-4884
  • Data Source
    CJP  CJPref  NII-ELS  J-STAGE 
Page Top