Eosinophilic gastroenteritis with eosinophilic dermatitis.
Eosinophilic gastroenteritis (EG) is characterized by eosinophilic infiltration of the bowel wall and variable gastrointestinal manifestations. Clinicians should have a high index of suspicion for EG when faced with gastrointestinal symptoms and peripheral eosinophilia to avoid incorrect diagnosis and inappropriate treatments. A 24-year-old woman was admitted to our hospital complaining of acute right lower quadrant abdominal pain and a laparoscopic appendectomy performed for a presumed diagnosis of an acute appendicitis. However, the procedure revealed bowel edema and a moderate amount of ascites without evidence of a suppurative appendicitis. Postoperatively, she showed persistent and progressive eosinophilia, exudative eosinophilic ascites, eosinophilic infiltration of the resected appendix wall, and eosinophilic infiltration of gastroduodenal mucosa. A punch biopsy of the abdominal skin also revealed inflammation with marked eosinophilic infiltration of the skin. She recovered after the treatment with a low dose of steroid for the EG with eosinophilic dermatitis. EG with eosinophilic dermatitis has not been reported yet and is considered fortuitous in this case.
Cha
Jae Myung
JM
Department of Internal Medicine, East-West Neo Medical Center, KyungHee University College of Medicine, Seoul, Korea. dramc@hanmail.net
Lee
Joung Il
JI
Joo
Kwang Ro
KR
Shin
Hyun Phil
HP
D000328:Adult; D003872:Dermatitis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D004802:Eosinophilia / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D005260:Female; D005759:Gastroenteritis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D013256:Steroids / Q000627:therapeutic use; D055815:Young Adult
D013256:Steroids