Eosinophilic gastroenteritis associated with food allergy and bronchial asthma.
In some patients, eosinophilic gastroenteritis(EG) occurs in those with food allergy. We experienced a non-atopic asthmatic who had an EG associated with food allergy to fish and eggs, and blood eosinophilia. A skin prick test and RAST to causative food allergens showed a negative result. A fiber-optic endoscopic biopsy from the gastric mucosa showed an intense eosinophilic infiltration. We could find symptomatic improvement and a disappearance of eosinophilic infiltration in gastric mucosa after complete avoidance from the causative food and oral cortcosteroid. It was suggested that fiber-optic endoscopic biopsy might be needed to identify coexisting EG if an allergic patient with blood eosinophilia complains of severe gastrointestinal symptoms.
Park
H S
HS
Department of Allergy and Clinical Immunology, Ajou University School of Medicine, Korea.
Kim
H S
HS
Jang
H J
HJ
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001249:Asthma / Q000150:complications* / Q000188:drug therapy; D004724:Endoscopy; D004802:Eosinophilia / Q000150:complications*; D005512:Food Hypersensitivity / Q000150:complications*; D005753:Gastric Mucosa / Q000473:pathology; D005759:Gastroenteritis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged
D000305:Adrenal Cortex Hormones