| Longterm Follow Up of A Case of Eosinophilic Gastroenteritis |
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So Young Lee, Jeong Kee Seo |
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Department of Pediatrics, Seoul National University, College of Medicine, Seoul, Korea |
| 호산구성 위장관염 1예의 장기 추적 관찰의 보고 |
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이소영, 서정기 |
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서울대학교 의과대학 소아과학교실 |
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| Abstract |
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Eosinophilic gastroenteritis(EG) is a rare disease characterised histologically by eosinophilic infiltration of the gut wall. The clinical features depend on which layer and location are involved. Patients may be divided into three clinical groups as predominantly mucosal, muscle layer, or subserosal disease based on the histological site of eosinophilic infiltration of the bowel wall, although there is lften considerable overlap. EG with predominant mucosal disease produce symptoms of nausea, vomiting and abdominal pain, possibly with a history of allergy and it may have either a evidence of malabsorption, protein losing enteropathy, iron deficiency anemia. Patients with predominant muscle involvement often causes obstruction of pylorus or small bowel. Subserosal involvement which is rare manifests as eosinophilic ascites and occasinonally eosinophilic peritonitis.
We experienced a case of eosinophilic gastroenteritis in a 3 year old boy who presented as iron deficiency anemia and intermittent abdominal pain. Gastrofiberscopy revealed erosive gastritis and duodenal ulcer. We could confirm the diagnosis of EG by endoscopic biopsy and have followed up the patient for 5 years. We report this case with brief review of the literature. |
| Key Words:
Eosinophilic gastroenteritis, Gastritis, Duodenal ulcer, Iron deficiency anemia |
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