Eosinophilic Gastroenteritis: a case report
Abstract
Background: gastrointestinal eosinophilic disorders are rare and of unclear etiopathogenesis. They are characterized by the presence of an eosinophilic infiltrate that can affect different layers of the wall of the gastrointestinal tract.
Objective: to describe the clinical and histological characteristics of a case of eosinophilic gastroenteritis.
Clinical case: the case of a 2-year-old female patient with a postnatal history of a 3-month history of steatorrheic diarrheal stools and marked weight deterioration is presented. She is admitted for presenting a classic picture of intestinal malabsorption, with steatorrheic stools, abdominal distention, malnutrition by default and signs of vitamin deficiency. The final diagnosis was eosinophilic gastroenteritis through endoscopic duodenal biopsy that confirmed the diagnosis.
Conclusions: the clinical evolution was favorable after treatment with corticoids and hypoallergenic diet which gave place to symptoms remission.
DeCS: GASTROENTERITIS/therapy; HYPEREOSINOPHILIC SYNDROME; GASTROINTESTINAL TRACT; CHILD, PRESCHOOL; EOSINOPHILIA.
Downloads
References
2. Grzybowska Chlebowczyk U, Horowska Ziaja S, Kajor M, Więcek S, Chlebowczyk W, Woś H. Eosinophilic colitis in children. Adv Dermatol Allergol [Internet]. 2017 [citado 09 Mar 2018];34(1):52–59. Disponible en: https://pdfs.semanticscholar.org/d39c/fa727699e3517062d65ba40ebd032154a6ff.pdf
3. Zhang MM, Li YQ. Eosinophilic gastroenteritis: A state-of-the-art review. J Gastroenterol Hepatol [Internet]. 2017 [citado 09 Mar 2018];32(1):64–72. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27253425/.
4. Salcedo Armijos MA. Enteritis Eosinofílica: Un caso atípico de abdomen agudo obstructivo [Tesis]. Quito, Ecuador: Universidad San Francisco de Quito. Colegio de Ciencias de la Salud; 2019 [citado 17 Sep 2020];[aprox. 39 p.]. Disponible en: http://repositorio.usfq.edu.ec/bitstream/23000/8536/1/144036.pdf
5. Cerutti L. Síndrome Hipereosinofílico. Arch alerg inmunol clin [Internet]. 2018 [citado 17 Sep 2020];49(1):24-42. Disponible en: http://adm.meducatium.com.ar/contenido/articulos/15600240042_1093/pdf/15600240042.pdf
6. Hennessey Calderón DC, Severiche Bueno DF, Severiche Hernández DL. Colitis eosinofílicacomo causa de diarrea crónica. Acta Med Colombiana [Internet]. 2019 [citado 17 Sep 2020];44(1):47-50. Disponible en: http://www.scielo.org.co/pdf/amc/v44n1/0120-2448-amc-44-01-47.pdf
7. Espín Jaime B. Patología digestiva eosinofílica [Internet]. En: AEPap (ed.). Congreso de Actualización Pediatría 2019. Madrid, España: Lúa Ediciones 3.0; 2019 [citado 17 Sep 2020]. Disponible en: https://es.scribd.com/document/460444490/patologia-digestiva-eosinofilica
8. Alvarado Araujo J, Forti V, Quintana C. Enteropatía Eosinofílica. Un verdadero desafío diagnóstico. Reporte de dos casos clínicos. Rev Pediáta Elizal [Internet]. 2018 [citado 17 Sep 2020];9(1):17-20. Disponible en: https://www.apelizalde.org/revistas/2018-1-ARTICULOS/RE_2018_1_RC_1.pdf
9. Sánchez R, Zavala G, Lee B, Molina N. Colitis eosinofílica: reporte de un caso clínico. Acta Gastroenterol Latinoam [Internet]. 2018 [citado 17 Sep 2020];48(3):159-162. Disponible en: http://www.actagastro.org/numeros-anteriores/2018/Vol-48-N3/Vol48N3-PDF06.pdf
10. Safari MT, Shahrokh S, Miri MB, Ehsani Ardakani MJ. Eosinophilic Gastroenteritis as a Rare Cause of Recurrent Epigastric Pain. Emerg (Tehran) [Internet]. 2016 [citado 16 Abr 2018];4(2):108–110. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4893762/.
11. Muñoz Guzmán M, Hernández Suyo A, Deriaz Alvarez J, Rodríguez Hurtado D. Gastroenteritis eosinofílica: A propósito de un caso y revisión de la literatura. Rev gastroenterol Perú [Internet]. 2017 [citado 17 Abr 2018];37(2):177-81. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1022-51292017000200013
12. Abou Rached A, El Hajj W. Eosinophilic gastroenteritis: Approach to diagnosis and management. World J Gastrointest Pharmacol Ther [Internet]. 2016 [citado 16 Abr 2018];7(4):513-23. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5095570/.
13. Mehta P, Furuta GT. Eosinophils in Gastrointestinal disorders- eosinophilic gastrointestinal diseases, celiac disease, inflammatory bowel diseases and parasitic infections. Immunol Allergy Clin North Am [Internet]. 2015 [citado 16 Abr 2018];35(3):413-37. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4515563/.
