An unusual case of hypereosinophilic syndrome and disseminated intravascular coagulation

作     者：YEUNG Tok-fai LAU Siu-wah WONG Kin 

作者机构：Department of Medicine and Geriatrics Our Lady of Maryknoll Hospital Hong Kong ChinaDepartment of Medicine and Geriatrics Our Lady of Maryknoll Hospital Hong Kong China Department of Medicine and Geriatrics Our Lady of Maryknoll Hospital Hong Kong China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2005年第118卷第18期

页      面：1582-1584页

核心收录：

学科分类：1002[医学-临床医学] 100203[医学-老年医学] 10[医学] 

主　　题：hypereosinophilic syndrome·disseminated intravascular syndrome·low molecular weight heparin 

摘      要：Idiopathic hypereosinophilic syndrome （HES） is a heterogeneous disorder characterized by hypereosinophilia and organ damage which affects men more commonly than women （9：1）. The disease can be detected incidentally, but more often presents either insidiously or acutely with cardiac, neurological, cutaneous, pulmonary or gastro- intestinal manifestations, with cardiac involvement being a major cause of morbidity and morality in patients. 1.2 Although a major mechanism of tissue damage in HES is due to thromboembolism,3 fullblown disseminated intravascular coagulation （DIC） is apparently rare. This paper describes a man who presented acutely with life-threatening DIC complicating HES and its management, the first Chinese case reported in the literature.