Sustained Eosinophilic Cholangitis Due to a Mite Allergy Mimicking Sclerosing Cholangitis

被引：1

作者：

Motoya, Masayo ^{[1
]}

Takai, Shun ^{[2
]}

Moriya, Hiroshi ^{[2
]}

Hirano, Takehiro ^{[1
]}

Wagatsuma, Kohei ^{[1
]}

Numata, Yasunao ^{[1
]}

Kawakami, Yujiro ^{[1
]}

Masaki, Yoshiharu ^{[1
]}

Ishigami, Keisuke ^{[1
]}

Murota, Ayako ^{[1
]}

Nakase, Hiroshi ^{[1
]}

机构：

[1] Sapporo Med Univ, Sch Med, Dept Gastroenterol & Hepatol, Sapporo, Hokkaido, Japan

[2] Hakodate Goryoukaku Hosp, Dept Gastroenterol, Hakodate, Hokkaido, Japan

来源：

INTERNAL MEDICINE | 2022年 / 61卷 / 16期

关键词：

eosinophilic cholangiopathy; eosinophilia; sclerosing cholangitis; eosinophilic cholecystitis; CHOLECYSTITIS; CHOLANGIOPATHY;

D O I：

10.2169/internalmedicine.8323-21

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Eosinophilic cholangiopathy (EC) presents with thickening and stenosis of the bile duct wall that is his-tologically characterized by eosinophil infiltration. The diagnosis is often difficult. We herein report a patient who had been followed up with a diagnosis of primary sclerosing cholangitis but had a final diagnosis of EC based on eosinophilia, histological findings of bile duct and liver biopsy specimens, and a review of a previ-ous surgical specimen of the gallbladder. Antigen tests, isolation from her house, and accidental re-exposure to the antigen revealed that the causative antigen was the mite Dermatophagoides pteronyssinus.

引用

页码：2477 / 2482

页数：6

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