[Abdominal pain, indigestion and eosinophilia].
A 56 years old swiss man suffers of recurrent abdominal cramps with episodes of diarrhea and profuse expectorations. The routine laboratory shows principally a massive eosinophilia and elevated IgE in peripheral blood. After excluding the most frequent causes of eosinophilia, further laboratory investigations shows increased levels antinuclear and anti-SSA antibodies, elevated IgG4, increased pancreatic amylase and intestinal eosinophilia. We consider two etiologies: the hypereosinophilic syndrome, diagnostic of exclusion, and the autoimmune pancreatitis. Although we have not sufficient arguments in favour of an autoimmune pancreatitis, these two entities present some similar points.
Boo
Isabel Ittig
II
Zentrum für Labormedizin, Kantonsspital Aarau, 5001 Aarau.
Risch
Lorenz
L
Heijnen
Ingmar A F M
IA
Huber
Andreas R
AR
D015746:Abdominal Pain / Q000209:etiology*; D001327:Autoimmune Diseases / Q000175:diagnosis*; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000209:etiology; D004415:Dyspepsia / Q000209:etiology*; D004802:Eosinophilia / Q000209:etiology*; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000175:diagnosis*