好酸球性中耳炎10症例の検討

  • 岸部 幹
    旭川医科大学耳鼻咽喉科・頭頸部外科学講座
  • 長門 利純
    旭川医科大学耳鼻咽喉科・頭頸部外科学講座
  • 東松 琢郎
    とうしょう耳鼻咽喉科アレルギー科医院
  • 林 達哉
    旭川医科大学耳鼻咽喉科・頭頸部外科学講座
  • 野中 聡
    旭川医科大学耳鼻咽喉科・頭頸部外科学講座
  • 原渕 保明
    旭川医科大学耳鼻咽喉科・頭頸部外科学講座

書誌事項

タイトル別名
  • Case Reports of Eosinophilic Otitis Media
  • リンショウ コウサンキュウセイ チュウジエン 10 ショウレイ ノ ケントウ

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We presented 10 cases of eosinophilic otitis media (EOM) at Asahikawa Medical College Hospital and related institutions. All cases had non-atopic asthma, 8 had chronic sinusitis, 6 had nasal polyps, 5 had allergic rhinitis, and 8 had hyposmia. One case had sensorineural hearing loss. A high IgE value or a positive serum RAST score existed in 6 cases, but there was no antigen specificity. Myringotomy, corticosteroid eardrops, and anti-allergic drugs were used for primary treatments. For the cases in which primary treatments were ineffective or which had sensorineural hearing loss, we systematically administrated prednisolone. All 6 cases that were systematically given prednisolone improved in otologic findings. With hyposmia, 1 case that had primary treatment and 6 cases that were systematically given prednisolone improved hyposmia with improvement of otologic findings. In these cases that required prednisolone, there were tendencies for multifocal eosinophilic inflammation, uncontrollable asthma, or long-term morbidity of ear symptoms. In EOM, the cases that may be systematically given prednisolone are not rare. Considering the side effects of medication with prednisolone, the establishment of a safer and more effective treatment than systematic prednisolone medication is necessary.

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