好酸球性膀胱炎の臨床研究 その2 : 好酸球性膀胱炎5例の臨床検討

Abstract

われわれが設定した, 好酸球性膀胱炎の診断基準に合致し5例について, 臨床的検討を加えた.1)全例が, アレルギー疾患を合併していた.2) 3例は, 膀胱鏡的に慢性炎症性所見および, 粘膜下出血斑を示すのみであった.3) 4例は, 尿中好酸球検査が陽性であった.4)皮膚テスト即時型反応は2/4例において陽性で, 陽性2例中1例は, IgE RASTにおいてダニや室内塵およびヨモギなどに対し, 陽性であった.この1例は1型アレルギー反応の関与を示唆した

Clinical observations were performed on 5 cases of eosinophilic cystitis that had been diagnosed by our criteria. In all 5 cases some kind of allergic diseases was found. General urinalysis did not show any definite tendency, but eosinophils in urine were found in 4 cases. Cystoscopy revealed only chronic inflammation and submucosal hemorrhage in 4 cases, and the other case showed ulcerative changes. A positive to immediate skin reaction was seen in 2 of the 4 cases. IgE RAST was positive for mite, house dust and mugwort in 1 of these 2 cases. In this case immediate allergic reaction was suspected as part of the cause of the cystitis.