Eosinophilic gastroenteritis with eosinophilic dermatitis

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 a...

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Bibliographic Details
Published in:Yonsei medical journal 2010, 51(1), , pp.145-147
Main Authors: Cha, Jae Myung, Lee, Joung Il, Joo, Kwang Ro, Shin, Hyun Phil
Format: Article
Language:English
Subjects:
Adult
Case Report
Dermatitis - diagnosis
Dermatitis - drug therapy
Dermatitis - pathology
Eosinophilia - diagnosis
Eosinophilia - drug therapy
Eosinophilia - pathology
Female
Gastroenteritis - diagnosis
Gastroenteritis - drug therapy
Gastroenteritis - pathology
Humans
Steroids - therapeutic use
Young Adult
의학일반
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Summary: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.
ISSN:0513-5796
1976-2437
DOI:10.3349/ymj.2010.51.1.145