Portal de Periódicos da CAPES

Acute Cholecystitis Associated with Eosinophilic Granulomatosis with Polyangiitis That Responded to Glucocorticoid Therapy

2022; The Japanese Society of Internal Medicine; Volume: 62; Issue: 10 Linguagem: Inglês

10.2169/internalmedicine.0437-22

1349-7235

Sotaro Ozaka, Takamoto Kodera, Koshiro Tsutsumi, Masahide Fukuda, Masao Iwao, Yuka Hirashita, Haruhiko Takahashi, Kensuke Fukuda, Kazuhisa Okamoto, Mie Arakawa, Ryō Ogawa, Mizuki Endo, Kazuhiro Mizukami, Tadayoshi Okimoto, Naganori Kamiyama, Masaaki Kodama, Takashi Kobayashi, Kazunari Murakami,

Urticaria and Related Conditions

Eosinophilic granulomatosis with polyangiitis (EGPA) is a systemic disorder characterized by tissue eosinophilic infiltration and vasculitis. Although EGPA causes multiple organ damage, it causes cholecystitis less frequently. We herein report a case of acute cholecystitis associated with EGPA in which successful treatment with glucocorticoid therapy allowed surgery to be avoided. EGPA can present as acute cholecystitis. It is important not to overlook acute cholecystitis associated with EGPA in patients with abdominal pain with peripheral eosinophilia. Furthermore, in cases of mild cholecystitis associated with EGPA that are diagnosed preoperatively, cholecystectomy might be avoided with conservative glucocorticoid treatment.