Eosinophilic ascites due to severe eosinophilic ileitis

Setia, Namrata; Ghobrial, Peter M.; Pantanowitz, Liron

doi:10.4103/1742-6413.70408

Cited by 12 publications

(3 citation statements)

References 16 publications

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“…An eosinophilic effusion, defined by the fluid containing at least 10% eosinophils, have been reported in association with a wide variety of conditions including trauma, toracotomy, repeat aspiration of pleural fluid, pneumothorax and hemothorax. [ 2 6 7 8 ]…”

Section: Discussionmentioning

confidence: 99%

A review of uncommon cytopathologic diagnoses of pleural effusions from a chest diseases center in Turkey

Çakır¹,

Demırağ²,

Aydın³

et al. 2011

CytoJournal

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Background:After pneumonia, cancer involving the pleura is the leading cause of exudative pleural effusion. Cytologic examination of pleural effusions is an important initial step in management of malignant effusions. The aim of this study is to evaluate the spectrum of uncommon malignant pleural effusions in a chest disease center in Turkey.Materials and Methods:A retrospective study of samples of pleural effusions submitted to Ataturk Chest Diseases and Chest Surgery Education and Research Hospital Department of Pathology between March 2005 and November 2008 was performed.Results:Out of a total of 4684 samples reviewed 364 (7.8%) were positive for cancer cells. Of the malignant pleural effusions 295 (81%) were classified as adenocarcinoma or carcinoma not otherwise specified (NOS). Pleural effusion specimens revealing a diagnosis other than adenocarcinoma/carcinoma NOS were: 32 (8.8%) malignant mesotheliomas, 14 (3.8%) small cell carcinomas, 13 (3.5%) hematolymphoid malignancies and 10 (2.7%) squamous cell carcinoma. Hematolymphoid malignancies included non- Hodgkin lymphoma (diffuse B large cell lymphoma, mantle cell lymphoma), multiple myeloma, chronic myeloid leukemia, and acute myeloid leukemia.Conclusions:Despite that adenocarcinoma is the most common cause of malignant pleural effusions, there is a significant number of hematological and non-hematological uncommon causes of such effusions. Cytopathologists and clinicians must keep in mind these uncommon entities in routine practice for an accurate diagnosis.

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Section: Discussionmentioning

confidence: 99%

A review of uncommon cytopathologic diagnoses of pleural effusions from a chest diseases center in Turkey

Çakır¹,

Demırağ²,

Aydın³

et al. 2011

CytoJournal

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“…In 28 cases (22%) history of allergic diseases was reported. With an equal gender ratio, 5 of them [4][5][6][7][8] had nonspecific symptoms, 9 were diagnosed with asthma [9][10][11][12][13][14][15][16][17], 1 with skin rash [18], while in rest of the patients associations between asthma, allergic rhinitis [19][20][21], skin rash as well as food, pet and drug allergy were mentioned.…”

Section: Eosinophilic Gastroenteritis (Ege)mentioning

confidence: 99%

Causes of eosinophilic ascites – A systematic review

Pinte

Băicuș

2019

Romanian Journal of Internal Medicine

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Background. In the last years an uprising interest for a relatively unknown entity, eosinophilic ascites (EA), has been recorded. Our aim is to investigate the potential causes of EA development, as well as clinical, laboratory, endoscopic and radiologic features, management and outcome in these patients. Methods. The following research was performed on PubMed (MEDLINE) database using the medical subject headings [Mesh] terms “Ascites” AND “Eosinophils”. Results. A total of 284 results, dating from 1962 onwards, were found and abstracts were examined. 131 papers were excluded and the remaining 153 publications, consisting in case reports and series of cases, were analyzed. From 171 patients with EA, 127 subjects (74%) had EGE, 17 (10%) parasitic and fungal infections, 11(7%) Hypereosinophilic syndrome and 16 patients (9%) less common diseases (eosinophilic pancreatitis, chronic eosinophilic leukemia, myelofibrosis, T-cell lymphoma, Churg Strauss Syndrome, Systemic lupus erythematosus, Familial paroxysmal polyserositis and Ménétrier’s disease). High eosinophil blood count and IgE levels as well as gastrointestinal symptoms are frequent. The diagnosis is based on ascitic fluid analysis, imaging and endoscopic biopsies. Therapy with corticosteroids results in resolution of eosinophilic ascites in almost all patients. Conclusion. In most cases, in the absence of allergy, parasitic infections, malignancy, hematological disorders, peritoneal tuberculosis, inflammatory bowel disease or autoimmune disease, EA develops as a manifestation of eosinophilic gastroenteritis.

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“…Eosinophilic ascites in the absence of peritonitis was described with Toxocara canis infection in a patient not on dialysis, where the ascites may have resulted from larval invasion of the peritoneal cavity after excysting in the small bowel creating a local reaction [ 8 ]. Eosinophilic ileitis in a patient not on dialysis was also associated with peritoneal eosinophilia [ 9 ]. Strongyloides larvae burrow into duodenal and proximal jejunal mucosa; some mature and subsequently invade the bowel wall.…”

Section: Discussionmentioning

confidence: 99%

Intestinal Strongyloides causing peritoneal eosinophilia in peritoneal dialysis

Saha

Sengsayadeth

Golper

2012

Clinical Kidney Journal

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A 59-year-old Laotian male with a past medical history of multiple myeloma on peritoneal dialysis (PD) presented with abdominal pain and peritoneal eosinophilia. He was treated empirically for bacterial peritonitis and discharged although his PD fluid did not isolate any pathogens. He soon developed a partial small bowel obstruction and his serum Strongyloides IgG was positive. After treatment with ivermectin, stool microscopic examination showed Strongyloides stercoralis larvae. This case illustrates that the differential diagnosis of peritoneal eosinophilia should include typical and atypical infections in addition to an allergic or hypersensitivity type reaction.

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Eosinophilic ascites due to severe eosinophilic ileitis

Cited by 12 publications

References 16 publications

A review of uncommon cytopathologic diagnoses of pleural effusions from a chest diseases center in Turkey

A review of uncommon cytopathologic diagnoses of pleural effusions from a chest diseases center in Turkey

Causes of eosinophilic ascites – A systematic review

Intestinal Strongyloides causing peritoneal eosinophilia in peritoneal dialysis

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