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嗜酸性白血球增多症之評估與診斷-病例報告

Evaluation and Diagnosis of Eosinophilia: A Case Report

摘要


目的:本案例為嗜酸性白血球增多症,本文探討造成原因、評估方式及相關診斷。病例報告:80歲鍾先生,近兩星期有發燒、夜間盜汗、疲累、體重減輕及輕微咳嗽症狀。胸部X光顯示肺部浸潤,抽血之絕對嗜酸性球高達3079/μl。經住院檢查後,診斷為過多嗜酸性白血球增多症候群併肺部浸潤。結論:造成嗜酸性球增多原因包括藥物、過敏、感染、腫瘤等,故病史詢問、理學檢查、實驗室評估等皆很重要,必要時應予以轉介。

並列摘要


Objective: This is a case of eosinophilia. We discussed the causes of the disease and how to evaluate and diagnose the disease in practice. Case Report: Mr. Chung, an 80-year-old man, suffered from fever, night sweating, fatigue, weight loss and mild cough in recent two weeks. Chest X-ray showed lung infiltration. Lab data revealed a value of absolute eosinophil counts of 3079/μl. After admitted to the ward and a thorough evaluation, his final diagnosis was hypereosinophilic syndrome with pulmonary infiltration. Conclusion: The common causes of eosinophilia include medication, allergy, infection and neoplasm. History taking, physical examination, and laboratory checkups are all important to help doctors diagnose the disease.

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