title: [Eosinophilic gastroenteritis in the esophagus, stomach, and small intestine in a patient with a choking feeling in the esophagus].
abstract: A 75-year-old man was admitted to our hospital with the chief complaint of a choking feeling around the esophagus. Laboratory examinations revealed eosinophilia, and high levels of serum immunoglobulin (Ig) E. A computed tomography scan (CT) showed wall thickening of the esophagus and terminal ileum, and ascites around the liver. An endoscopic examination revealed mild mucosal edema in the esophagus, stomach, and small intestine. Biopsy specimens showed diffuse eosinophilic infiltration in the mucosa. We therefore diagnosed eosinophilic gastroenteritis. Oral prednisolone relieved clinical conditions and the CT image improved. This case was considered valuable, because there have been few reports of eosinophilic esophagitis in Japan.
authors.affiliation: Third Department of Internal Medicine, Oita University Faculty of Medicine, Japan.
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Hirashima
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Kitajima
authors.forename: Saori
authors.initials: S
authors.lastname: Sugi
authors.forename: Koichi
authors.initials: K
authors.lastname: Kagawa
authors.forename: Kazunari
authors.initials: K
authors.lastname: Murakami
authors.forename: Toshio
authors.initials: T
authors.lastname: Fujioka
authors.forename: Toshihide
authors.initials: T
authors.lastname: Kumamoto
mesh_terms: D000368:Aged; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D004802:Eosinophilia / Q000150:complications*; D004947:Esophagus / Q000473:pathology*; D005759:Gastroenteritis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D007421:Intestine, Small / Q000473:pathology*; D008297:Male; D011239:Prednisolone / Q000008:administration & dosage; D011860:Radiography, Abdominal; D013270:Stomach / Q000473:pathology*; D014057:Tomography, X-Ray Computed
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone