Eosinophilic gastroenteritis: Three clinical cases with different presentations

Ruiz, Amaia Campos; Aguirre, I Ganchegui; Arlegui, Leire Urtasun; Laso, Ana Belén Fernández; Špičáková, Kateřina; Pérez, Marta Salvador; Oncins, Silvia Estrada; Ibarrola, Marta; Niso, Julia Barroso; Anda, José Javier Aguirre; Orive-Calzada, Aitor

doi:10.1016/j.gastre.2017.03.009

Cited by 2 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In some cases, maintenance treatment with low doses (5 to 10 mg a day) is necessary. [11] H1 receptor antagonist (diphenhydramine, [12] ketotifen [13] ) can be selected for treatment. In recent years, it has been reported that leukotriene receptor antagonist is also a new treatment option.…”

Section: Discussionmentioning

confidence: 99%

Eosinophilic peritonitis in a patient with liver cirrhosis: A case report

Pang

Fang

Zhi

et al. 2019

CRCP

View full text Add to dashboard Cite

Eosinophilic gastroenteritis (EG) is a gastrointestinal disease characterized by abnormal infiltration of eosinophilic cells in the gastrointestinal tract, excluding known causes of eosinophilia. Eosinophilic peritonitis (EP) is rare and is considered by most scholars to be a systemic or local allergy to exogenous or endogenous allergens. It is a clinical manifestation of eosinophilic gastroenteritis involving the serosal layer. Hereby, we report a case of EP in a patient with liver cirrhosis. A 32-year-old man was admitted to our hospital for intermittent fatigue, abdominal distension and abdominal pain. On account of clinical feature and pathological results of peritoneal puncture biopsy, excluding other causes of peripheral eosinophilia, the diagnosis of EP with hepatic cirrhosis was established. The possibility of EP should be paid great attention to patients with cirrhosis with peritonitis. Gastrointestinal endoscope biopsy, laparoscopy or peritoneal puncture biopsy are conducive to the diagnosis and differential diagnosis. Therefore, once the disease is suspected, gastrointestinal endoscope biopsy should be performed actively, and multiple pathological samples should be taken to contribute to diagnosis and treatment. Laparoscopy or peritoneal puncture biopsy is of vital significance for definitive diagnosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Eosinophilic peritonitis in a patient with liver cirrhosis: A case report

Pang

Fang

Zhi

et al. 2019

CRCP

View full text Add to dashboard Cite

show abstract

“…The oral prednisolone dose most frequently administered is 40 mg/day for 7–14 days, followed by a progressive dose reduction. In some cases, maintenance treatment with low doses (5 to 10 mg a day) is necessary [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Ascites in a Young Woman: A Rare Presentation of Eosinophilic Gastroenteritis

Santos¹,

Morgado²,

Blanco³

et al. 2018

Case Reports in Gastrointestinal Medicine

View full text Add to dashboard Cite

Introduction Eosinophilic gastroenteritis (EGE) is a rare idiopathic disease that can affect one or more organs of the digestive tract. It has an estimated incidence of 1–20 cases per 100,000 patients. Klein et al. classified EGE into 3 subtypes: predominant mucosal, muscular, or subserosal. Clinical Case We report a case of a 32-year-old woman, who presented with diffuse abdominal pain, nausea, postprandial infarction, diarrhea, and moderate ascites of three-week evolution. The rest of physical examination did not show alterations. The past medical history was unremarkable. Laboratory test results revealed peripheral blood eosinophilia. Abdominal CT scan revealed diffuse and concentric parietal thickening of the distal 2/3 of esophagus, moderate volume ascites, and small bowel wall thickening and distension on the left quadrants. The paracentesis revealed 93.3% of eosinophils. The colon biopsies evidenced an increase in the number of eosinophils. Secondary causes of eosinophilia were excluded. The patient was treated with oral prednisolone 40 mg/day with immediate clinical and analytical improvement. Conclusion Eosinophilic gastroenteritis is a rare condition with a nonspecific and highly variable clinical presentation, which requires a high level of clinical suspicion. It is a diagnosis of exclusion. Secondary causes of eosinophilia such as intestinal tuberculosis, parasitosis, and malignant neoplasms should be excluded.

show abstract

Eosinophilic gastroenteritis: Three clinical cases with different presentations

Cited by 2 publications

References 3 publications

Eosinophilic peritonitis in a patient with liver cirrhosis: A case report

Eosinophilic peritonitis in a patient with liver cirrhosis: A case report

Ascites in a Young Woman: A Rare Presentation of Eosinophilic Gastroenteritis

Contact Info

Product

Resources

About