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Milk-sensitive eosinophilic gastroenteritis in a 2-month-old boy
Conceição Costa1, Isabel Pinto Pais1, Elisabete Rios2
1Department of Pediatrics, Centro Hospitalar Gaia Espinho, Vila Nova de Gaia, Portugal.
BMJ Case Reports
|August 15, 2015
Summary
Eosinophilic gastroenteritis, a rare gastrointestinal disorder, presents non-specifically in infants. An elemental diet effectively treated a 2-month-old boy, resolving symptoms and promoting growth.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Disorders
- Rare Diseases
Background:
- Eosinophilic gastroenteritis is a rare condition with unknown causes.
- It involves eosinophilic infiltration of the gastrointestinal tract, leading to diverse symptoms.
- Diagnosis can be challenging due to non-specific clinical and radiological findings.
Observation:
- A 2-month-old male infant presented with prolonged diarrhea, vomiting, and food refusal.
- These symptoms mimicked more common childhood illnesses, necessitating a high index of suspicion.
- Histological examination confirmed the diagnosis.
Findings:
- Histology confirmed eosinophilic gastroenteritis in the infant.
- Treatment with an elemental diet led to complete clinical resolution.
- The infant experienced successful catch-up growth following the intervention.
Implications:
- This case highlights the importance of considering eosinophilic gastroenteritis in infants with persistent gastrointestinal issues.
- Elemental diet therapy appears effective for managing this condition in young children.
- Early diagnosis and appropriate treatment can lead to favorable outcomes, including catch-up growth.
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