Eosinophilic Gastroenteritis with Eosinophilic Dermatitis.
10.3349/ymj.2010.51.1.145
- Author:
Jae Myung CHA
1
;
Joung Il LEE
;
Kwang Ro JOO
;
Hyun Phil SHIN
Author Information
1. Department of Internal Medicine, East-West Neo Medical Center, KyungHee University College of Medicine, Seoul, Korea. dramc@hanmail.net
- Publication Type:Case Report
- Keywords:
Eosinophil;
gastroenteritis;
dermatitis;
ascites;
corticosteroids
- MeSH:
Adult;
Dermatitis/*diagnosis/drug therapy/pathology;
Eosinophilia/*diagnosis/drug therapy/pathology;
Female;
Gastroenteritis/*diagnosis/drug therapy/pathology;
Humans;
Steroids/therapeutic use;
Young Adult
- From:Yonsei Medical Journal
2010;51(1):145-147
- CountryRepublic of Korea
- Language:English
-
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.
