점막하 종양의 평가 중 우연히 발견된 호산구 식도염 1예
A Case of Eosinophilic Esophagitis Found Incidentally during the Evaluation of a Gastric Submucosal Tumor
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초록
호산구 식도염는 소아에서 주로 알려진 질환이었으나 최근 수년 사이에 여러 나라에서 성인에서 유병율이 증가하고 있는 질환이다. 77세 남자가 위 점막하 종양으로 진단되어 본원에 내시경 초음파 검사를 위해 의뢰되었다. 저자들은 내시경 초음파 검사를 위해 내시경 진입시 저항을 느꼈고, 좁아진 식도에서 백색 삼출물의 소견을 보여 조직검사를 시행하였다. 고배율에서 점막과 점막 하층에 20개 이상의 호산구의 광범위한 침윤이 관찰되었다. 이후 문진, 내시경적 소견, 조직학적 소견을 근거로 호산구 식도염으로 진단 후 국소 스테로이드 제제를 사용하여 호전된 1예를 경험하여 문헌 고찰과 함께 보고한다.
Abstract
Over the last several years, eosinophilic esophagitis in adults is an increasingly recognized disease in various parts of world. A 77-year-old male with a gastric submucosal tumor was referred to our department for endoscopic ultrasonography. During the examination, there was some resistance in inserting the echoendoscope into the esophagus. Detailed endoscopic examination of the esophagus showed narrow lumen and scattered whitish plaques, and biopsy of the esophagus revealed more than 20 eosinophils per high-power field. We diagnosed this case as eosinophilic esophagitis and treated successfully by topical steroid. We report a case of eosinophilic esophagitis found incidentally during endoscopic ultrasonography for a gastric submucosal tumor.
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