嗜酸性粒细胞增多性重症肝炎1例报告

苏洁; 王景宇; 黄兴; 潘煜; 齐月; 华瑞

doi:10.3969/j.issn.1001-5256.2022.01.026

嗜酸性粒细胞增多性重症肝炎1例报告

DOI: 10.3969/j.issn.1001-5256.2022.01.026

苏洁^1a,
王景宇^1b,
黄兴²,
潘煜^1a,
齐月^1a,
华瑞^1a, ,

1a.
吉林大学第一医院肝胆胰内科，长春130021
1b.
吉林大学第一医院放射线科，长春130021
2.
吉林省人民医院放射线科，长春 130021

基金项目:

吉林省科技厅基金 (20200201499JC)

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：苏洁负责收集病例、撰写文章、文献查找分析；王景宇负责整理病案、文献查找分析、影像分析指导；黄兴、潘煜、齐月、华瑞负责指导撰写文章并最后定稿。

详细信息

通信作者:
华瑞，huar@jlu.edu.cn

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- 被引次数: 0
出版历程
- 收稿日期: 2021-04-19
- 录用日期: 2021-07-17
- 出版日期: 2022-01-20

A case of severe allergic hepatitis caused by eosinophilia

Jie SU^1a,
Jingyu WANG^1b,
Xing HUANG²,
Yu PAN^1a,
Yue QI^1a,
Rui HUA^{1a
, ,}

1a.
Department of Hepatology, The First Hospital of Jilin University, Changchun 130021, China
1b.
Department of Radiology, The First Hospital of Jilin University, Changchun 130021, China
2.
Department of Radiology, Jilin Provincial People's Hospital, Changchun 130021, China

Research funding:

Jilin Province Science and Technology Department Fund (20200201499JC)

摘要

- 嗜酸粒细胞增多 /
- 肝炎 /
- 华支睾吸虫病
- Eosinophilia /
- Hepatitis /
- Clonorchiasis

HTML全文

图 1 肝胆脾核磁平扫+增强+三期弥散

注：a，T₁W₁相肝右叶部分影像稍低信号(白色箭头)；b，DWI相肝右叶部分高信号；c，T₂W₁相高信号，动脉期明显强化；d，门静脉期、平衡期显示不清，不能除外炎性病变。肝脏呈等级稍低摄取，倾向炎症病变(白色箭头)。

下载: 全尺寸图片幻灯片

图 2 肝脏病理检查

注：a，肝组织轻-中度大泡性肝脂变(30%~40%，黑色箭头)基础上，见较广泛的嗜酸性粒细胞浸润(白色箭头)，见于汇管区伴门静脉炎及小叶窦内(HE染色，×200)；b，部分肝实质内广泛浸润，局部肝细胞坏死消失(黑色箭头)，并见大片肝细胞呈凝固性坏死(白色箭头，50%~ 55%)(HE染色，×100)。

下载: 全尺寸图片幻灯片

参考文献(9)

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