Eosinophilic gastroenteritis

A review was undertaken of 220 case reports of eosinophilic gastroenteritis involving the gastrointestinal tract, with particular regard to its clinical presentation and management. The stomach was the single commonest site of involvement (43%), while 36% were found to have two or more sites of disease at the time of presentation. The most common presenting symptoms were episodic abdominal pain (77%) and diarrhoea (42%). A history of allergy was present in 52% of patients, while 8% reported aggravation of symptoms following the ingestion of certain foods. Two thirds of patients had reported symptoms of more than six months duration prior to diagnosis, while in 26%, five years or more had elapsed. Although surgical intervention was undertaken in 44% of patients at some stage in their management, the most successful mode of management was the institution of steroid therapy, where 90% reported rapid clinical improvement. There is no evidence that patients with eosinophilic gastroenteritis have a higher incidence of subsequent gastrointestinal malignancies.     

嗜酸细胞性肺炎

1　概　述嗜酸细胞性肺炎是一种与肺嗜酸细胞浸润有关的变态反应性疾病 ,病因与寄生虫感染、真菌感染、药物过敏等有关 ,但很多病因不很明确 ,发病机制亦不清楚。本病亦可称为 :嗜酸细胞肺浸润、嗜酸细胞浸润性肺炎、肺嗜酸细胞增多症、嗜酸细胞增多综合征等 ,这有待今后进一步统一。根据其临床特点本病可分为以下五型 :(1)单纯型嗜酸细胞性肺炎 (Loffler综合征 )。 (2 )慢性或迁延型嗜酸细胞性肺炎。 (3)哮喘型嗜酸细胞性肺炎。(4)热带型嗜酸细胞性肺炎。 (5 )过敏性肉芽肿性血管炎 (Churg -Strauss综合征 )。2　临床特点2 .1　病因　嗜…     

嗜酸性肉芽肿性多血管炎

文章对嗜酸性肉芽肿性多血管炎进行介绍。     

Malnutrition in Eosinophilic Gastrointestinal Disorders

Primary eosinophilic gastrointestinal disorders (EGIDs) are emerging chronic/remittent inflammatory diseases of unknown etiology, which may involve any part of the gastrointestinal (GI) tract, in the absence of secondary causes of GI eosinophilia. Eosinophilic esophagitis is the prototype of eosinophilic gastrointestinal disorders and is clinically characterized by symptoms related to esophageal inflammation and dysfunction. A few studies have assessed the nutritional status of patients with eosinophilic gastrointestinal disorders, showing conflicting results. This review summarizes the current evidence on the nutritional status of patients with EGIDs, focusing on the pediatric point of view and also speculating potential etiological mechanisms.     

Eosinophilic gastritis simulating gastric carcinoma

A case of eosinophilic gastritis is reported in a 65-year-old woman. The disease presented with signs of delayed emptying, vomiting and substantial thickening of the antrum. Partial gastrectomy was performed because of the suspicion of gastric cancer and pyloric stenosis. Histopathology established the diagnosis of eosinophilic gastritis of mural type. Clinicopathological features of the disease, as well as its differential diagnosis are summarised in the discussion.