The Korean Journal of Medicine

  • 제87권5호
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  • Pages.585-588
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  • 2014
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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성인에서 장중첩증으로 발현된 과호산구 증후군 1예

Hypereosinophilic Syndrome Presenting as Intussusception in Adults

  • Chon, Nuri (Department of Internal Medicine, Hallym Hospital) ;
  • Kim, WooJung (Department of Internal Medicine, Hallym Hospital) ;
  • Park, Sang Young (Department of Internal Medicine, Hallym Hospital) ;
  • Kim, Kwang Hyun (Department of Internal Medicine, Hallym Hospital)
  • 투고 : 2014.02.19
  • 심사 : 2014.05.29
  • 발행 : 2014.11.01
⟨ 이전 논문 다음 논문 ⟩

초록

Hypereosinophilic syndrome (HES) is characterized by persistent eosinophilia associated with damage to multiple organs. Although the diagnostic criteria for HES include sustained hypereosinophilia for at least 6 months, early initiation of therapy may be recommended in patients exhibiting HES symptoms. Eosinophilic enteritis has been reported as a cause of intussusception in several cases. However, HES as a cause of intussusception has not yet been reported. In the present report, we describe a case of HES that manifested as jejunojejunal intussusception. Although long-standing hypereosinophilia was not confirmed, the patient required eosinophil-lowering therapy for an intestinal obstruction. The patient was treated with systemic corticosteroids, after which the symptoms and multiple organ involvement, including intussusception, improved dramatically, as noted on the radiological investigation. Moreover, surgery was not necessary.

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참고문헌

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