嗜酸性食管肌炎。

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-04-16 eCollection Date: 2025-04-01 DOI:10.14309/crj.0000000000001663

Ajay Pranami, Amol Dahale, Abhijeet Karad, Raghavender Puri, Prashant Gopal, Debabrata Banerjee

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引用次数: 0

摘要

嗜酸性食管肌炎（EoEM）是一种罕见的影响固有肌层的疾病，没有任何鳞状上皮或粘膜下层的累及。患者可能出现胸痛、吞咽困难、体重减轻或反复发作的食物嵌塞。嗜酸性粒细胞性食管炎也有类似症状，使诊断困难。内窥镜超声有助于确定固有肌层受累，并允许更深的活检。尽管可能需要手术和内窥镜干预，但早期诊断至关重要，因为EoEM可以通过药物治疗。我们遇到了一位73岁的EoEM男性患者，通过内窥镜超声诊断并成功地用类固醇治疗。

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Eosinophilic Esophageal Myositis.

Eosinophilic esophageal myositis (EoEM) is a rare condition affecting the muscularis propria without any involvement of the squamous epithelium or submucosa. Patients may present with chest pain, dysphagia, weight loss, or recurrent episodes of food impaction. Similar symptoms are also seen in eosinophilic esophagitis making the diagnosis difficult. Endoscopic ultrasound helps define muscularis propria layer involvement and allows for deeper biopsy. Early diagnosis is essential as EoEM can be treated medically, although surgical and endoscopic interventions might be required. We encountered a 73-year-old man with EoEM diagnosed with endoscopic ultrasound and successfully treated with steroids.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.