A Case of Idiopathic Eosinophilic Cholecystitis Treated with Steroids / 대한내과학회지
Korean Journal of Medicine
; : 342-346, 2012.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-165634
Biblioteca responsável:
WPRO
ABSTRACT
Eosinophilic cholecystitis is a rare disease characterized by transmural leukocyte infiltration composed of more than 90% eosinophils. Eosinophilic cholecystitis is clinically indistinguishable from ordinary cholecystitis, and as a rule it leads to cholecystectomy. We report a case of idiopathic eosinophilic cholecystitis treated with steroids. A 75-year-old woman presented with a classic history of acute cholecystitis and a peripheral eosinophilia of 41.8%. There was no evidence of allergy or parasitic infestation. An abdominal ultrasonography and computed tomography (CT) scan showed an edematous, thickened gallbladder wall, but no gallstones. There was no evidence of eosinophilic infiltration in other organs. Cholecystectomy was not performed because the patient refused surgical management. However, fever, abdominal pain, and peripheral eosinophilia persisted despite antibiotic and conservative therapy. Therefore, we attempted treatment with prednisolone. A week later, the symptoms disappeared and the peripheral eosinophilia normalized.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Esteroides
/
Prednisolona
/
Colecistectomia
/
Cálculos Biliares
/
Dor Abdominal
/
Colecistite
/
Doenças Raras
/
Colecistite Aguda
/
Eosinofilia
/
Eosinófilos
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Medicine
Ano de publicação:
2012
Tipo de documento:
Artigo