Acute Cholecystitis Associated with Eosinophilic Granulomatosis with Polyangiitis That Responded to Glucocorticoid Therapy

被引：0

作者：

Ozaka, Sotaro ^{[1
]}

Kodera, Takamoto

Tsutsumi, Koshiro

Fukuda, Masahide

Iwao, Masao

Hirashita, Yuka

Takahashi, Haruhiko

Fukuda, Kensuke

Okamoto, Kazuhisa

Arakawa, Mie

Ogawa, Ryo

Endo, Mizuki

Mizukami, Kazuhiro

Okimoto, Tadayoshi

Kamiyama, Naganori

Kodama, Masaaki

Kobayashi, Takashi

机构：

[1] Oita Univ, Fac Med, Dept Gastroenterol, Oita, Japan

来源：

INTERNAL MEDICINE | 2023年 / 62卷 / 10期

关键词：

eosinophilic granulomatosis with polyangiitis; EGPA; Churg-Strauss syndrome; corticosteroid; acute cholecystitis; CHURG-STRAUSS-SYNDROME; TERM-FOLLOW-UP; ACALCULOUS CHOLECYSTITIS; MICROSCOPIC POLYANGIITIS; POLYARTERITIS-NODOSA; AMERICAN-COLLEGE; GASTROINTESTINAL INVOLVEMENT; RECOMMENDATIONS; CLASSIFICATION; MANAGEMENT;

D O I：

10.2169/internalmedicine.0437-22

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Eosinophilic granulomatosis with polyangiitis (EGPA) is a systemic disorder characterized by tissue eosinophilic infiltration and vasculitis. Although EGPA causes multiple organ damage, it causes cholecystitis less frequently. We herein report a case of acute cholecystitis associated with EGPA in which successful treatment with glucocorticoid therapy allowed surgery to be avoided. EGPA can present as acute cholecystitis. It is important not to overlook acute cholecystitis associated with EGPA in patients with abdominal pain with peripheral eosinophilia. Furthermore, in cases of mild cholecystitis associated with EGPA that are diagnosed preoperatively, cholecystectomy might be avoided with conservative glucocorticoid treatment.

引用

页码：1501 / 1506

页数：6

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