Idiopathic hypereosinophilic syndrome with hepatic sinusoidal obstruction syndrome:A case report and literature review  

作　　者：Xu-Tao Xu Bing-Hong Wang Qiang Wang Yang-Jie Guo Yu-Ning Zhang Xiao-Li Chen Yan-Fei Fang Kan Wang Wen-Hao Guo Zhen-Zhen Wen 

机构地区：[1]Department of Gastroenterology,Sir Run Run Shaw Hospital,College of Medicine Zhejiang University,Hangzhou 310016,Zhejiang Province,China [2]Department of Hepatopancreatobiliary Surgery and Minimally Invasive Surgery,Zhejiang Provincial People's Hospital,Hangzhou Medical College,Hangzhou 310014,Zhejiang Province,China [3]Department of Pathology,Sir Run Run Shaw Hospital,College of Medicine Zhejiang University,Hangzhou 310016,Zhejiang Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2023年第7期1532-1541,共10页世界胃肠外科杂志（英文版）（电子版）

基　　金：the National Science of Foundation Committee of Zhejiang Province,No.LY22H160003;the Zhejiang Provincial Medical and Health Science Foundation,No.2021441200 and No.2021RC083.

摘　　要：BACKGROUND Hypereosinophilic syndrome(HES)is classified as primary,secondary or idiopathic.Idiopathic HES(IHES)has a variable clinical presentation and may involve multiple organs causing severe damage.Hepatic sinusoidal obstruction syndrome(HSOS)is characterized by damage to the endothelial cells of the hepatic sinusoids of the hepatic venules,with occlusion of the hepatic venules,and hepatocyte necrosis.We report a case of IHES with HSOS of uncertain etiology.CASE SUMMARY A 70-year-old male patient was admitted to our hospital with pruritus and a rash on the extremities for>5 mo.He had previously undergone antiallergic treatment and herbal therapy in the local hospital,but the symptoms recurred.Relevant examinations were completed after admission.Bone marrow aspiration biopsy showed a significantly higher percentage of eosinophils(23%)with approximately normal morphology.Ultrasound-guided hepatic aspiration biopsy indicated HSOS.Contrast-enhanced computed tomography(CT)of the upper abdomen showed hepatic venule congestion with hydrothorax and ascites.The patient was initially diagnosed with IHES and hepatic venule occlusion.Prednisone,low molecular weight heparin and ursodeoxycholic acid were given for treatment,followed by discontinuation of low molecular weight heparin due to ecchymosis.Routine blood tests,biochemical tests,and imaging such as enhanced CT of the upper abdomen and pelvis were reviewed regularly.CONCLUSION Hypereosinophilia may play a facilitating role in the occurrence and development of HSOS.

关 键 词：Hypereosinophilic syndrome Hepatic sinusoidal obstruction syndrome Hepatic aspiration biopsy Bone marrow aspiration biopsy PREDNISONE Case report 

分 类 号：R575[医药卫生—消化系统]