[Idiopathic hypereosinophilic syndrome with predominant digestive manifestations or eosinophilic gastroenteritis? Apropos of 2 cases].
We report two cases of hypereosinophilic syndrome with predominant gastrointestinal signs, which could have been mistaken for eosinophilic gastroenteritis. In the first case, the patient presented with eosinophilic ascites; documentation of pulmonary involvement allowed to easily establish the diagnosis. In the second case, the patient presented with diarrhea and malabsorption; gastrointestinal and pancreatic involvement seemed isolated. Cases reported as eosinophilic gastroenteritis in the literature with polyvisceral involvement raise the possibility of hypereosinophilic syndrome. We suggest that diffuse eosinophilic gastroenteritis could in fact be an isolated manifestation of the idiopathic hypereosinophilic syndrome.
Service de Médecine Interne, CHU Rouen-Boisguillaume, Boisguillaume.
H
H
Levesque
M C
MC
Elie-Legrand
J M
JM
Thorel
O
O
Touchais
A
A
Gancel
P
P
Hecketsweiller
H
H
Courtois
D000328:Adult; D004802:Eosinophilia / Q000150:complications / Q000175:diagnosis*; D005260:Female; D005759:Gastroenteritis / Q000150:complications / Q000175:diagnosis*; D005767:Gastrointestinal Diseases / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013577:Syndrome
Syndrome hyperéosinophilique idiopathique à manifestations digestives prédominantes ou gastroentérite à éosinophiles? A propos de deux observations.