A man with abdominal pain and eosinophilia : tissue is the issue.
Journal
Acta gastro-enterologica Belgica
ISSN: 1784-3227
Titre abrégé: Acta Gastroenterol Belg
Pays: Belgium
ID NLM: 0414075
Informations de publication
Date de publication:
Historique:
entrez:
18
1
2020
pubmed:
18
1
2020
medline:
14
2
2020
Statut:
ppublish
Résumé
A 24-year-old male presented with abdominal pain, postprandial vomiting and weight loss. Lab results showed an elevated serum eosinophil count and CT-scan demonstrated a thickened antral, duodenal and jejunal wall. Repetitive endoscopic mucosal biopsies were normal. Work-up of eosinophilia-associated gastro-intestinal disorders excluded secondary causes. Bone marrow showed an elevated eosinophil count without arguments for a primary hypereosinophilic syndrome. Endoscopic ultrasound-guided fine needle biopsy detected a strongly elevated number of eosinophils in the muscularis layer of the duodenum. The diagnosis of muscularispredominant eosinophilic gastroenteritis together with a secondary hypereosinophilic syndrome was made. The patient was started on steroids and all symptoms vanished within a few days.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
532-535Informations de copyright
© Acta Gastro-Enterologica Belgica.
Déclaration de conflit d'intérêts
The authors declare that they have no conflict of interest