title: Eosinophilic gastrointestinal disorder in an infant with feeding dysfunction.
abstract: Feeding dysfunction (FD) has recently been considered to comprise a prevalent set of symptoms in eosinophilic gastrointestinal disorders (EGIDs) in young children. We report the case of an 8-month-old girl with an EGID who visited our hospital due to vomiting, poor weight gain and feeding difficulties; her condition was discovered during the examination of the symptoms including FD. Tracheal aspiration and reduced esophageal clearance showed up in a barium swallow test and upper gastrointestinal contrast radiography, respectively. Delayed clearance from the stomach was also detected on gastrointestinal scintigraphy. Gastrointestinal endoscopy and biopsies revealed esophagitis with some eosinophils and duodenitis with eosinophilic inflammation. She was not a likely candidate for eosinophilic esophagitis. On administration of an elemental diet, the patient gained weight. Esophageal and stomach clearance subsequently improved, although the vomiting and FD persisted to some extent. We conclude that it is important to consider other EGIDs as well as eosinophilic esophagitis in the differential diagnosis of FD.
authors.affiliation: Divisions of Allergy and Immunology, Gunma Children's Medical Center, Shibukawa, Gunma, Japan. yamaday@gcmc.pref.gunma.jp
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Yamada
authors.forename: Masahiko
authors.initials: M
authors.lastname: Kato
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Toki
authors.forename: Mio
authors.initials: M
authors.lastname: Watanabe
authors.forename: Akira
authors.initials: A
authors.lastname: Nishi
authors.forename: Ikue
authors.initials: I
authors.lastname: Matsushita
authors.forename: Junko
authors.initials: J
authors.lastname: Hirato
authors.forename: Yasuhide
authors.initials: Y
authors.lastname: Hayashi
mesh_terms: D003937:Diagnosis, Differential; D004802:Eosinophilia / Q000175:diagnosis* / Q000178:diet therapy; D005247:Feeding Behavior; D005260:Female; D005526:Food, Formulated; D005767:Gastrointestinal Diseases / Q000175:diagnosis* / Q000178:diet therapy; D006801:Humans; D007223:Infant