Eosinophilic Peritonitis in Continuous Ambulatory Peritoneal Dialysis Patients: A Report of Two Cases

連續可活動性腹膜透析病人的嗜伊紅性腹膜炎：兩病例報告

林振雄(Jen-Shiung Lin) ； 李明哲(Ming-Che Lee) ； 王智賢(Chih-Hsien Wang) ； 方德昭(Te-Chao Fang) ； 徐邦治(Bang-Gee Hsu)

《Acta Nephrologica》 20卷1期 (2006/01) Pp. 45-47

摘要

剛開始執行腹膜透析的病人若數月內出現腹膜透析液混濁時，則嗜伊紅性腹膜炎需列入鑑別診斷。嗜伊紅性腹膜炎為一自限性疾病且預後良好。抗生素治療是不需要的而且不會影響疾病的過程。但有症狀的嗜伊紅性腹膜炎短期以類固醇或抗組織胺藥物治療是有幫助。本篇文章探討本院最近半年內出現的兩個嗜伊紅性腹膜炎病例。這些病人臨床上的特徵有腹膜透析液混濁、嗜伊紅性白血球增高，但無腹痛且腹膜透析液的培養及革蘭氏細菌染色均正常。一位病人以抗組織胺藥物及低劑量類固醇治療，另一位則以症狀治療。處理後腹膜透析液均變為清徹。

關鍵字

嗜伊紅性腹膜炎 ； 腹膜透析

並列摘要

Eosinophilic peritonitis should be considered in the differential diagnosis of cloudy peritoneal fluid occurring within the first few months of peritoneal dialysis. It is a self-limited disease and has a benign prognosis. Antibiotics are not necessary as they may not influence the course of the disease. However, symptomatic eosinophilic peritonitis can benefit from short courses of therapy with steroids or antihistamine. Here, we report two recent cases of eosinophilic peritonitis at our hospital. These two cases had cloudy peritoneal fluid with high eosinophilic count without abdominal pain, and negative of peritoneal fluid culture and Gram stain. One case was treated with antihistamine and low dose steroid and the other was treated with supportive treatment. All the dialysate fluids were clear after treatment.

並列關鍵字

eosinophilic peritonitis ； peritoneal dialysis