使用对比增强内窥镜超声造影观察到伴有胰腺增大的埃尔德海姆-切斯特病

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2025-01-15 Epub Date: 2024-05-30 DOI:10.2169/internalmedicine.3864-24

Akihiro Maruyama, Takahiro Nishikawa, Asuka Nagura, Takuya Kurobe, Jun Yashika, Yuho Nimura, Raimei Ko, Tomohiro Yamaguchi, Kazuki Saito, Kazuhiro Yoshida, Iori Kojima, Koji Nonogaki

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引用次数: 0

摘要

我们在此报告一例罕见的埃尔德海姆-切斯特病（Erdheim-Chester disease，ECD）病例，这是一种罕见的非朗格汉斯细胞组织细胞增生症，并强调其独特的表现形式和诊断难题。我们的患者表现出不常见的症状和严重的器官受累，尤其是胰腺肿大，而胰腺肿大通常与 ECD 无关。对比增强谐波内镜超声造影术（CEH-EUS）和内镜超声细针穿刺术（EUS-FNA）在疾病的综合评估中起着至关重要的作用，显示了它们在识别和描述难以捉摸的ECD病变方面的优越性。这是第一份使用 CEH-EUS 评估 ECD 患者胰腺病变的报告。EUS-FNA 对于诊断包括 ECD 在内的伴有胰腺弥漫性肿大的罕见疾病很有价值。

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Erdheim-Chester Disease with Pancreatic Enlargement Observed Using Contrast-enhanced Endoscopic Ultrasonography.

We herein report an unusual case of Erdheim-Chester disease (ECD), a rare non-Langerhans cell histiocytosis, and emphasize its unique presentation and diagnostic challenges. Our patient exhibited uncommon symptoms and significant organ involvement, particularly pancreatic enlargement that is not typically associated with ECD. Contrast-enhanced harmonic endoscopic ultrasonography (CEH-EUS) and EUS-fine needle aspiration (EUS-FNA) play crucial roles in the comprehensive assessment of the disease, demonstrating their superiority in identifying and characterizing elusive ECD lesions. This is the first report to document pancreatic lesions in patients with ECD evaluated using CEH-EUS. EUS-FNA is valuable for diagnosing rare diseases, including ECD, with diffuse pancreatic enlargement.

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.