Eosinophilic Gastroenteritis with Eosinophilic Dermatitis

Jae Myung Cha; Joung Il Lee; Kwang Ro Joo; Hyun Phil Shin
January 2010
Yonsei Medical Journal;1/1/2010, Vol. 51 Issue 1, p145
Academic Journal
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.


Related Articles

  • A Case of Eosinophilic Gastroenteritis with Severe Peripheral Eosinophilia. Mazokopakis, Elias; Vrentzos, George; Spanakis, Elias; Tzardi, Maria; Katrinakis, George; Diamantis, Ioannis // Military Medicine;Apr2006, Vol. 171 Issue 4, p331 

    Eosinophilic gastroenteritis is a rare heterogeneous disorder of undetermined etiology that is characterized by eosinophilic infiltration of the gastrointestinal tissues and various clinical manifestations. We report an uncommon case of eosinophilic gastroenteritis involving a patient with a...

  • EOSINOPHILIC GASTROENTERITIS PRESENTING AS A GIANT GASTRIC ULCER. Scolapio, James S.; DeVault, Kenneth; Wolfe, James T. // American Journal of Gastroenterology;Apr1996, Vol. 91 Issue 4, p804 

    We describe a 43-yr-old female with a giant gastric ulcer, refractory to medical treatment, that ultimately proved to be due to the mural form of eosinophilic gastroenteritis. The patient presented with a 6-month history of abdominal pain, diarrhea, and weight loss. Endoscopy showed a giant...

  • Pruritic Annular Patches with Eosinophilia. Weiss, Doris; Lakdawala, Nikita; Sidhu, Harleen; Phelps, Robert; Emer, Jason // Journal of Clinical & Aesthetic Dermatology;Aug2012, Vol. 5 Issue 8, p47 

    The article presents a case study of a 90-year-old Caucasian man with diabetes mellitus type 2 and congestive heart failure, who suffered from a pruritic rash for two weeks. It discusses results of his physical exam, skin biopsy and laboratory results. It states that the patient was diagnosed of...

  • Eosinophilic Gastrointestinal Disorder in Coeliac Disease: A Case Report and Review. Lim, Dennis N. F.; Wilkins, Annelise; Horton, Laura Elizabeth; Ahmad, Ishfaq; lo Polito, Catherine; Phillips, Chris // Case Reports in Gastrointestinal Medicine;2012, p1 

    Eosinophilic gastrointestinal disorder is a rare disorder characterised by eosinophilic infiltration of the gastrointestinal tract. There are various gastrointestinal manifestations with eosinophilic ascites being the most unusual and rare presentation. Diagnosis requires high index of suspicion...

  • An Atypical Case of Eosinophilic Gastroenteritis Presenting as Hypovolemic Shock. Martillo, Miguel; Herman, Michael; Abed, Elie; Abed, Jean; Gurunathan, Rajan; Munot, Khushboo; Mankal, Pavan Kumar; Ionescu, Gabriel; Kotler, Donald P.; Shi, Wenjing // Case Reports in Gastroenterology;May-Aug2015, Vol. 9 Issue 2, p142 

    Eosinophilic gastroenteritis is an uncommon condition characterized by focal or diffuse infiltration of eosinophils in the gastrointestinal tract in the absence of secondary causes. The pathogenesis of this condition is not well understood and its clinical presentation depends on the segment and...

  • GiARDiASiSE BAgLI GELisEN BiR WELLS SENDROMU (EOZiNOFiLiK SELL�LiT) OLGUSU. Acar, Ali; Karabudak, �zlem; �Kodaci, Zafer K��; DiktaS, H�srev; Nc�l, Oral �; Turhan, Vedat; G�enek, Levent // Anatolian Journal of Clinical Investigation;2010, Vol. 4 Issue 4, p215 

    Wells' syndrome (Eosinophilic cellulitis) is a rare condition of unknown etiology and pathogenesis with recurrent, inflammatory dermatosis. The typical clinical presentation of eosonophilic cellulitis is pruritic erythematous and edematous plaques and a histological picture of dermal...

  • The successful medical management of severe duodenal strictures secondary to eosinophilic gastroenteritis in an infant. Tan, H. L.; Sithasanan, N.; Foley, P.; Davidson, G. P. // Pediatric Surgery International;Sep2003, Vol. 19 Issue 7, p562 

    Eosinophilic gastroenteritis is an uncommon condition of unknown etiology that has only been relatively recently reported. Its clinical manifestations range from a mild disease to more severe forms resembling Crohn's disease. Enteric strictures are a rare but recognized complication of this...

  • Eosinophillic gastroenteitis presenting as pyloric obstruction. Nayak, Sujata; Vaidya, Vaishali S.; Deshmukh, Sanjay D. // Indian Journal of Surgery;Nov/Dec2003, Vol. 65 Issue 6, p512 

    Eosinophilic gastroenteritis presenting as pyloric obstruction is rare. It may mimic gastric malignancy in the elderly or idiopathic hypertrophic pyloric stenosis in infants. A case report of an elderly male with this entity is described.

  • An Unusual Cause of Facial Rash. Gupta, Arjun; Naina, Harris // JGIM: Journal of General Internal Medicine;Aug2015, Vol. 30 Issue 8, p1228 

    The article presents a case study of a 53-year-old male patient who suffered frornic facial rashes.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics