Eosinophilic gastroenteritis with eosinophilic dermatitis.

Abstract:

:Eosinophilic gastroenteritis (EG) is characterized by eosinophilic infiltration of the bowel wall and variable gastrointestinal manifestations. Clinicians should have a high index of suspicion for EG when faced with gastrointestinal symptoms and peripheral eosinophilia to avoid incorrect diagnosis and inappropriate treatments. A 24-year-old woman was admitted to our hospital complaining of acute right lower quadrant abdominal pain and a laparoscopic appendectomy performed for a presumed diagnosis of an acute appendicitis. However, the procedure revealed bowel edema and a moderate amount of ascites without evidence of a suppurative appendicitis. Postoperatively, she showed persistent and progressive eosinophilia, exudative eosinophilic ascites, eosinophilic infiltration of the resected appendix wall, and eosinophilic infiltration of gastroduodenal mucosa. A punch biopsy of the abdominal skin also revealed inflammation with marked eosinophilic infiltration of the skin. She recovered after the treatment with a low dose of steroid for the EG with eosinophilic dermatitis. EG with eosinophilic dermatitis has not been reported yet and is considered fortuitous in this case.

journal_name

Yonsei Med J

journal_title

Yonsei medical journal

authors

Cha JM,Lee JI,Joo KR,Shin HP

doi

10.3349/ymj.2010.51.1.145

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

145-7

issue

1

eissn

0513-5796

issn

1976-2437

journal_volume

51

pub_type

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