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Eosinophilic Gastroenteritis: Still a Diagnostic Challenge.

Sofia Silva Mendes1,2, Bruno Gonçalves1, João Bruno Soares1

  • 1Gastroenterology Department, Braga Hospital, Braga, Portugal.

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|November 29, 2023
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Eosinophilic gastroenteritis (EoG) is a rare gastrointestinal disorder. Early suspicion in patients with peripheral eosinophilia and ascites, especially with atopy history, aids diagnosis.

Keywords:
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Area of Science:

  • Gastroenterology
  • Immunology

Background:

  • Eosinophilic gastroenteritis (EoG) is a rare gastrointestinal disorder with unclear pathophysiology.
  • Diagnosis often involves exclusion and can be delayed.

Observation:

  • A 36-year-old woman with atopy presented with nausea, abdominal discomfort, weight loss, and ascites.
  • Laboratory tests showed peripheral eosinophilia and elevated inflammatory markers.
  • Diagnosis was delayed despite multiple medical consultations.

Findings:

  • The case highlights EoG with serosal infiltration.
  • Peripheral eosinophilia and ascites in an atopic patient are key indicators.

Implications:

  • Increased awareness of EoG with subserosal involvement is crucial.
  • Prompt diagnosis and management can improve patient outcomes.
  • This case underscores the importance of considering rare diagnoses in complex presentations.