Dipylidiasis in a 57-year-old woman

An interesting case of tapeworm infection in a human caused by Dipylidium caninum was recently diagnosed in the Illawarra area of N.S.W. Since it involved and adult (a 57-year-old woman) and recorded human infections are rare in the Australian literature, it was decided to describe this case of dipylidiasis.     

嗜酸性筋膜炎

<正>嗜酸性筋膜炎(eosinophilic fasciitis,EF)是一种罕见的硬皮病样疾病,由Shulman~[1]在1974年首次报道,以对称性的四肢肿痛、皮肤硬化、外周血嗜酸性粒细胞增多、高丙种球蛋白血症、血沉加快等为主要临床特征。EF在各年龄段均可发病,平均发病年龄多集中在40~50岁之间~[2],男女发病率基本一致~[3]。目前尚无国际诊断标准,EF的诊断多建立在典型的临     

Eosinophilic fasciitis with pulmonary and pleural involvement

We report a case of eosinophilic fasciitis, with the unusual features of pulmonary and pleural involvement. Similar cases which involve the lungs have been reported after exposure to L-tryptophan, but there is no relevant drug history in this case.     

Eosinophilic fasciitis associated with L-tryptophan ingestion.

OBJECTIVE: To present the first case of eosinophilic fasciitis associated with L-tryptophan ingestion. CLINICAL FEATURES: A 23-year-old Australian man developed myalgia and weakness, and later the clinical features of eosinophilic fasciitis, while taking L-tryptophan. INTERVENTION AND OUTCOME: The amino acid supplementation was discontinued and he was treated with prednisone (30 mg/day) for six weeks with significant improvement. CONCLUSION: In sclerodermatous skin diseases, such as eosinophilic fasciitis, the possibility of ingestion of tryptophan-containing products should be considered.     

Eosinophilic fasciitis in an African--possible benefit of chloroquine treatment

A 58-year-old black woman with eosinophilic fasciitis is reported, this being the first report to our knowledge of the condition from Africa. The patient showed a subjective and objective improvement in symptoms on two occasions when treated with chloroquine.     

嗜酸性粒细胞筋膜炎5例临床病理分析并文献复习

目的总结嗜酸性粒细胞筋膜炎(EF)的临床表现、病理特征和诊治方法。方法收集2017年4月—2018年9月武汉大学人民医院神经内科诊治的5例EF患者,均符合2014年Pinal-Femandez和2017年Masatoshi Jinnin嗜酸性粒细胞筋膜炎的诊断标准,对其危险因素、临床表现、实验室检查、肌电图、MR、病理组织活检表现及治疗进行分析、结果嗜酸性粒细胞筋膜炎主要表现为对称性的肢体肿胀、僵硬、疼痛,Groove征以及肌腱挛缩;实验室检查外周血嗜酸性粒细胞增加,高丙种球蛋白血症,红细胞沉降率和C反应蛋白升高,血清肌酸激酶正常;肌肉MR检查显示筋膜增厚;肌电图均表现为肌源性损害;全程皮肤、筋膜、肌肉连续活检,肉眼可见筋膜明显增厚,组织学检查显示5例患者皮肤及筋膜均以淋巴细胞为主的炎性细胞浸润,可见嗜酸性粒细胞,4例患者肌肉组织有炎性细胞浸润;激素治疗有明显疗效。结论嗜酸性粒细胞筋膜炎除皮肤和筋膜的表现外,还有肌肉受损的表现;诊断除临床、实验室、影像学等检查外,主要依靠活组织检查;早期诊断和激素治疗效果较好。