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Allergic bowel disease.

Alan M Lake1

  • 1Department of Pediatrics, The Johns Hopkins University School of Medicine, 10807 Falls Road, Suite 200, Lutherville, MD 21093, USA. alakeslake@aol.com

Adolescent Medicine Clinics
|July 24, 2004
PubMed
Summary
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Adolescent allergic bowel diseases, including eosinophilic esophagitis, gastroenteritis, and ascites, are distinct conditions. Recognizing their unique diagnostic features and treatments is crucial for pediatric and allergy physicians.

Area of Science:

  • Gastroenterology
  • Allergy Immunology

Background:

  • Allergic bowel diseases in adolescents were previously grouped as allergic or eosinophilic gastroenteritis.
  • Recent advancements have led to the differentiation of three distinct clinical syndromes over the past two decades.

Purpose of the Study:

  • To delineate the distinct clinical criteria, diagnostic features, and treatment options for three specific allergic bowel diseases in adolescents.
  • To emphasize the importance of physician awareness regarding diagnostic investigations and therapeutic strategies for these conditions.

Main Methods:

  • Review and synthesis of established clinical criteria for differentiating eosinophilic esophagitis, eosinophilic gastroenteritis, and eosinophilic ascites.
  • Analysis of characteristic eosinophil infiltration patterns in affected gastrointestinal tissues or serosal surfaces.

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Main Results:

  • Eosinophilic esophagitis involves eosinophil infiltration of the esophagus.
  • Eosinophilic gastroenteritis affects the stomach, small bowel, and/or large bowel.
  • Eosinophilic ascites is characterized by eosinophil infiltration of the bowel's serosal surface.

Conclusions:

  • Eosinophilic esophagitis, eosinophilic gastroenteritis, and eosinophilic ascites are distinct entities in adolescents.
  • Accurate diagnosis relies on specific clinical presentations, diagnostic findings, and characteristic eosinophil patterns.
  • Physicians require knowledge of diagnostic workups and therapeutic options, including dietary and anti-inflammatory treatments.