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[Eosinophilic gastroenteritis]

B M Hokland1, T Halvorsen, M B Bengtson

  • 1Kirurgisk avdeling, Vestfold sentralsykehus, Tønsberg.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|August 10, 1993
PubMed
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Eosinophilic gastroenteritis, a hypereosinophilic syndrome, can cause ascites and abdominal pain, often linked to food allergies. Corticosteroid therapy is effective for this chronic condition, offering a good long-term prognosis.

Area of Science:

  • Gastroenterology
  • Immunology
  • Internal Medicine

Background:

  • Eosinophilic gastroenteritis is a rare gastrointestinal disorder.
  • It is classified under the spectrum of hypereosinophilic syndromes.
  • Food allergy is considered a potential etiologic factor.

Observation:

  • A 33-year-old woman presented with ascites, abdominal pain, and a history of food allergy.
  • Histologic examination of a jejunal biopsy confirmed the diagnosis.
  • Elevated eosinophil counts and normal/mildly elevated erythrocyte sedimentation rate were noted.

Findings:

  • The patient was diagnosed with eosinophilic gastroenteritis.
  • Clinical manifestations included ascites and abdominal pain.
  • Differential diagnoses such as polyarteritis nodosa, Crohn's disease, and parasitic infections were excluded.

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Implications:

  • Eosinophilic gastroenteritis requires exclusion of other conditions like Crohn's disease.
  • Prompt diagnosis and treatment with corticosteroids can lead to favorable outcomes.
  • Despite its chronic nature, the long-term prognosis for eosinophilic gastroenteritis is generally good with appropriate management.