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Korean J Med > Volume 87(5); 2014 > Article
The Korean Journal of Medicine 2014;87(5): 585-588.
성인에서 장중첩증으로 발현된 과호산구 증후군 1예
전누리, 김우중, 박상영, 김광현
한림병원 내과
Hypereosinophilic Syndrome Presenting as Intussusception in Adults
Nuri Chon, WooJung Kim, Sang Young Park, Kwang Hyun Kim
Department of Internal Medicine, Hallym Hospital, Incheon, Korea
Corresponding Author: Kwang Hyun Kim ,Tel: +82-32-540-9114, Fax: +82-32-545-1844, Email: kaizersoze@daum.net
Received: February 19, 2014;   Revised: March 24, 2014;   Accepted: May 29, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial License (http://creativecommons.org/licenses/bync/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Hypereosinophilic syndrome (HES) is characterized by persistent eosinophilia associated with damage to multiple organs. Although the diagnostic criteria for HES include sustained hypereosinophilia for at least 6 months, early initiation of therapy may be recommended in patients exhibiting HES symptoms. Eosinophilic enteritis has been reported as a cause of intussusception in several cases. However, HES as a cause of intussusception has not yet been reported. In the present report, we describe a case of HES that manifested as jejunojejunal intussusception. Although long-standing hypereosinophilia was not confirmed, the patient required eosinophil-lowering therapy for an intestinal obstruction. The patient was treated with systemic corticosteroids, after which the symptoms and multiple organ involvement, including intussusception, improved dramatically, as noted on the radiological investigation. Moreover, surgery was not necessary
Keywords: Hypereosinophilic syndrome; Intussusception
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