A case of eosinophilic gastroenteritis with diffuse small bowel edema and ascites.
- Author:
Hyun Ju UM
1
;
Byung Ik KIM
;
Hyun Duk PARK
;
Eun Sil KOO
;
Yong Kyun CHO
;
Chang Seop KIM
;
Chang Young PARK
;
Jung Il SOHN
;
Woo Kyu JEON
;
Eul Soon JUNG
;
Myung Sook KIM
;
Sang Jong LEE
Author Information
1. Department of Internal Medicine, Sung Kyun Kwan University College of Medicine, Kangbuk Samsung Hospital, Seoul, Korea. ligua@samsung.co.kr
- Publication Type:Case Report
- Keywords:
Eosinophilic gastroenteritis;
Ascites;
Asthma
- MeSH:
Abdominal Pain;
Ascites*;
Asthma;
Biopsy;
Colon;
Dermatitis, Atopic;
Diarrhea;
Edema*;
Eosinophilia;
Eosinophils*;
Food Hypersensitivity;
Gastroenteritis*;
Humans;
Hypersensitivity;
Immunoglobulin E;
Rhinitis;
Stomach;
Ulcer
- From:Korean Journal of Medicine
2000;59(1):74-79
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Eosinophilic gastroenteritis is an uncommon disorder of stomach, small bowel and colon characterized by peripheral blood eosinophilia, eosinophilic infiltration of the gut wall, and variable clinical symptoms. This disease was first described by Kaijser in 1937, and its cause was poorly understood. It may be related to allergy, which combines allergic rhinitis, allergic asthma, atopic dermatitis, food allergy and elevated IgE. The clinical symptoms and signs are variable according to the extents and depths of the eosinophilic infiltration. Endoscopic findings may show normal, nodular, ulcerative, or hemorrhagic mucosal changes, and biopsy findings reveal eosinophilic infiltration of mucosal and muscular layer. We diagnosed and treated a case of diffuse serosal eosinophilic gastroenteritis associated with ascites in a patient with allergic asthma who had severe abdominal pain, distention and watery diarrhea, and she dramatically responded to corticosteroid therapy.
