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KMID : 1035620150030010077
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Allergy Asthma & Respiratory Disease
2015 Volume.3 No. 1 p.77 ~ p.81
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Idiopathic hypereosinophilic syndrome presenting with urinary frequency, abdominal pain, and diarrhea
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김자경:Kim Ja-Kyung
김주희:Kim Joo-Hee/박한민:Park Han-Min/정용설:Jeong Yong-Seol/최청조:Choi Chung-Jo/나성균:Na Seong-Kyun/김종혁:Kim Jong-Hyeok/송영림:Song Young-Rim/황용일:Hwang Yong-Il/장승훈:Jang Seung-Hun/정기석:Jung Ki-Suck
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Abstract
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Idiopathic hypereosinophilic syndrome (IHES) is a rare disorder defined by persistent blood eosinophilia, evidence of eosinophil-associated organ dysfunction and absence of secondary causes. Eosinophilic infiltration and its mediator release can cause damage to multiple organs. Although IHES can involve every organ system, bladder involvement is rarely evidenced. We recently reported a case of IHES with both bladder and gastrointestinal tract involvement. A 43-year-old woman visited Hallym University Sacred Heart Hospital complaining of urinary frequency, abdominal pain, and diarrhea for several months. Abdominal pelvic computed tomographic scan showed diffuse wall thickenings in her bladder and colon with small pelvic ascites. Laboratory investigation showed a marked peripheral eosinophilia and tissue biopsies confirmed eosinophilic infiltration in the bladder wall, esophagus, and duodenum. The patient was treated with prednisolone and her eosinophilia and symptoms have gradually improved.
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KEYWORD
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Hypereosinophilic syndrome, Eosinophilic esophagitis, Enteritis, Cystitis
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