Eosinophilic Colitis Presenting with Bloody Diarrhea: Case Report.
- Author:
Sun Ik JANG
1
;
Hyeung Yeol PARK
;
In Sun JUN
Author Information
1. Department of Internal Medicine, Pusan Veterans Hospital, Busan, Korea. jsino1@naver.com
- Publication Type:Case Report
- Keywords:
Eosinophilic colitis;
Bloody diarrhea;
Nonatopic variant
- MeSH:
Abdominal Pain;
Aged;
Biopsy;
Colitis;
Diarrhea;
Eosinophilia;
Eosinophils;
Follow-Up Studies;
Gastrointestinal Diseases;
Humans;
Intestinal Mucosa;
Intestine, Large;
Recurrence
- From:Korean Journal of Gastrointestinal Endoscopy
2010;40(3):203-208
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Eosinophilic colitis is a chronic inflammatory bowel condition of unknown etiology and a rare subtype of eosinophilic gastrointestinal diseases. It is characterized by gastrointestinal symptoms and increased eosinophil numbers in the intestinal mucosa and absence of other potential causes of gastrointestinal eosinophilia. The clinical presentation is varied and depends on the involved layer of the large intestine. There are no confirmatory laboratory tests, and the morphologic evaluation of biopsies or surgical specimens is required to confirm the diagnosis. A 65-year-old man presented with an 8 day duration of bloody diarrhea and lower abdominal pain. The patient was diagnosed with eosinophilic colitis by histopathological evaluation of biopsies and was further categorized as a nonatopic variant associated with non-IgE-mediated reaction. The patient was successfully treated with systemic corticosteroid for 2 weeks. On follow-up after 9 months, the patient remained well without relapse or new lesions.
