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Enhanced therapeutic response with addition of loratadine in subserosal eosinophilic gastroenteritis
Nermin N Salkić1, Jasminka Mustedanagić-Mujanović, Predrag Jovanović
11Department of Gastroenterology and Hepatology, Clinic of Inter- nal Medicine; 2Department of Pathology, Division of Laboratory Diagnostics; University Clinical Centre of Tuzla, Tuzla, Bosnia and Herzegovina.
Abstract:
A case of a 45-year-old Caucasian male initially reported with symptoms of acute intestinal obstruction was presented. Diagnostic tests revealed presence of eosinophilic ascites with marked peripheral eosinophilia, a significant thickening of stomach and intestinal wall and infiltration of gastric and duodenal mucosa with eosinophiles. Findings were conclusive with subserosal type of eosinophilic gastroenteritis and the patient's treatment started with a combination of parenteral methylprednisolone and oral loratadine. A prompt clinical response was encountered after 5 days of treatment with complete resolution.
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