HYPEREOSINOPHILIC SYNDROME ACCOMPANIED WITH NECROSIS OF FINGER TIPS

被引:18
作者
TAKEKAWA, M [1 ]
IMAI, K [1 ]
ADACHI, M [1 ]
AOKI, S [1 ]
MAEDA, K [1 ]
HINODA, Y [1 ]
YACHI, A [1 ]
机构
[1] SAPPORO MED COLL,DEPT INTERNAL MED,SECT 1,S-1 W-16,CHUO KU,SAPPORO,HOKKAIDO 060,JAPAN
关键词
CHURG-STRAUSS SYNDROME; EOSINOPHILIA; COLLAGEN DISEASE; STEROID THERAPY; TNF;
D O I
10.2169/internalmedicine.31.1262
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a case of hypereosinophilic syndrome (HES) with marked eosinophilia (59.7%) and mononeuritis multiplex (upper limbs and buttocks). Necrosis of the finger tips was the primary manifestation which simultaneously occurred on both sides. These clinical manifestations were improved dramatically by subsequent steroid therapy. Interestingly, an elevation of serum tumor necrosis factor (TNF) was observed. These findings suggest that TNF may play a role in the etiology of necrosis of the finger tips.
引用
收藏
页码:1262 / 1266
页数:5
相关论文
共 13 条
[1]  
Hardy W.R., Anderson R.E., The hypereosinophilic syndrome, Ann Intern Med, 68, (1968)
[2]  
Chusid M.J., Dale D.C., West B.C., Et al., The hypereosinophilic syndrome
[3]  
Analysis of fourteen cases with review of the literature, Medicine, 54, (1975)
[4]  
Spry C.J.F., The hypereosinophilic syndrome
[5]  
Clinical features, laboratory findings and treatment, Allergy, 37, (1982)
[6]  
Slungaard A., Vercellotti G.M., Walker G., Et al., Tumor necrosis factor alfa/cachectin stimulates eosinophil oxidant production and toxicity towards human endothelium, J Exp Med, 171, (1990)
[7]  
Mori M., Saito S., Umegae Y., Et al., A case of allergic granulomatous angitis with a possible complication of hypereosinophilic syndrome, Clinic All-Round, 37, (1988)
[8]  
Shimoji K., Kinjyo Y., Kaneshima H., Et al., A case of hypereosinophilic syndrome with necrotizing vasculitis, Jpn J Thoracic Dis, 25, (1987)
[9]  
Ikeda S., Naoe H., Nanba K., Et al., Hypereosinophilic syndrome: A case associated with pulmonary predominant vascular involvement and autoimmune hemolytic anemia, Jpn J Thoracic Dis, 23, (1985)
[10]  
Bollinger A., Leu H.J., Brunner U., Juvenile arteritis of extracranial arteries with hypereosinophilia, Klin Wochenschr, 64, (1986)