title: Massive eosinophilic ascites: differential diagnosis between idiopathic hypereosinophilic syndrome and eosinophilic gastroenteritis.
abstract: This paper describes a patient with massive eosinophilic ascites as presenting manifestation probably due to idiopathic hypereosinophilic syndrome. Eosinophilic ascites and stomach wall involvement were the first detected abnormalities. The subsequent course was characterised by interstitial pulmonary disease and pleural and pericardial effusion. Grand mal epilepsy and numbness of the left arm indicated central nervous system involvement. Treatment with corticosteroids resulted in complete remission. The differential diagnosis of eosinophilic gastroenteritis and idiopathic hypereosinophilic syndrome is discussed.
authors.affiliation: Department of Internal Medicine, University Hospital Gasthuisberg, Leuven, Belgium.
authors.forename: I A
authors.initials: IA
authors.lastname: Vandewiele
authors.forename: B M
authors.initials: BM
authors.lastname: Maeyaert
authors.forename: E J
authors.initials: EJ
authors.lastname: Van Cutsem
authors.forename: K R
authors.initials: KR
authors.lastname: Geboes
authors.forename: D C
authors.initials: DC
authors.lastname: Knockaert
mesh_terms: D000368:Aged; D001201:Ascites / Q000150:complications* / Q000175:diagnosis; D001202:Ascitic Fluid / Q000166:cytology; D003937:Diagnosis, Differential; D004802:Eosinophilia / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005759:Gastroenteritis / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use
chemical_list: D008775:Methylprednisolone