带有负的内透镜活检和没有外围酸性肠胃炎:一个病例报告
Yukai Chen1, Keke Sun, Linbo Chen
1Department of Gastroenterology, The Affiliated People's Hospital of Ningbo University, Ningbo, Zhejiang Province, China.
Medicine
|July 23, 2025
概括
即使具有正常的乙酸细胞计数和负面活检,也可以诊断出乙酸性胃肠炎 (EoGE). 及时的皮质类固醇治疗导致在一个具有挑战性的病例中迅速改善症状.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 病理学 病理学 病理学
背景情况:
- 生性胃肠炎 (EoGE) 是一种罕见的炎症状况,影响胃肠道.
- 根据eosinophilic透深度,EoGE被分为粘膜,肌肉和血清亚型.
研究的目的:
- 报告一个EoGE病例,尽管有正常的乙氨基酸细胞数量和负的内镜活检,但仍诊断出这种病例.
- 突出EoGE的诊断挑战和策略.
主要方法:
- 一名29岁的女性出现了腹痛,恶心和吐.
- 诊断工作包括成像 (超声波,CT),实验室测试和多次内镜活检.
- 患者接受了皮质类固醇治疗.
主要成果:
- 图像检查显示肠壁加厚和.
- 内镜活检显示,埃索诺菲尔细胞没有增加.
- 皮质类固醇治疗导致症状迅速消失和肠壁厚度正常化.
结论:
- 应该怀疑EoGE,即使有正常的乙酸细胞计数和负面的活检.
- 性流体病理学和多部位活检可以提高EoGE的诊断准确性.
- 早期的皮质类固醇干预是有效的管理EoGE症状.
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