Upper Gastrointestinal Bleeding as the First Presentation of Eosinophilic Gastrointestinal Disease.
budesonide
children
eosinophilic esophagitis
esophageal ulcer
hematemesis
upper GI bleeding
Journal
JPGN reports
ISSN: 2691-171X
Titre abrégé: JPGN Rep
Pays: United States
ID NLM: 101773885
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
23
07
2020
accepted:
08
09
2020
medline:
11
11
2020
pubmed:
11
11
2020
entrez:
19
5
2023
Statut:
epublish
Résumé
Gastrointestinal bleeding is a rare but potentially life-threatening manifestation of eosinophilic gastrointestinal disorders (EGIDs). Here, we describe a case series comprising 5 pediatric patients between 7 and 12 years of age, who presented to the emergency department with hematemesis and were subsequently diagnosed with EGID. Accompanying allergic history, peripheral eosinophilia, and total IgE elevation were common. Despite a more severe presentation, response to medical and dietary therapy was favorable. A comprehensive review of the literature revealed 26 other cases with similar findings that reinforced the importance of prompt recognition and early dietary and immunomodulating therapy in the control of this disease.
Identifiants
pubmed: 37206599
doi: 10.1097/PG9.0000000000000017
pmc: PMC10191568
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e017Informations de copyright
Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc.
Déclaration de conflit d'intérêts
The authors report no funding or conflicts of interest.
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