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A Case of Non-IgE-mediated Serosal Eosinophilic Gastroenteritis in a Child with Chronic Asthma

Journal of the Korean Pediatric Society 1995;38(12):1694-1700.
Published online December 15, 1995.
A Case of Non-IgE-mediated Serosal Eosinophilic Gastroenteritis in a Child with Chronic Asthma
Yong Joo Kim1, Ha Baik Lee1, Hahng Lee1, Eun Kyeong Hong2, Hyun Chul Rhim3
1Department of Pediatrics, Han Yang University, College of Medicine, Seoul, Korea
2Department of Pathology, Han Yang University, College of Medicine, Seoul, Korea
3Department of Diagnostic Radiology, Han Yang University, College of Medicine, Seoul, Korea
만성 천식 환아에서 발생한 비 IgE 매개성 장막충형 호산구성 위장염 1예
김용주1, 이하백1, 이항1, 홍은경2, 임현철3
1한양대학교 의과대학 소아과학교실
2한양대학교 의과대학 병리학교실
3한양대학교 의과대학 진단방사선과학교실
Abstract
Eosinophilic gastroenteritis(EG) is a chronic disorder in which edsinophils constitute the predominant cell type in the inflammatory infiltrates of the gastrointestinaHGD tract. This disease was first described by Kaiiser in 1937. The clinical symptoms and signs are variable according to the extent of the eosinophilic infiltration(diffuse versus cir¡ⓒ cumscribed) and the depth of the eosinophilic reaction (mucosal, muscular, serosal). Some cases mayor may not be related with allergy disorder such as food allergy. Total IgE has been reported to be elevated in some patients and normal in others. Serum IgE levels demonstrate variable responses to food challenge, suggesting that both IgE¡ⓒ mediated and non-lgE-mediated mechanisms may be important in different patients with EG. We diagnosed and treated a case of non-lgE-mediated, serosal eosinophilic gastroenteritis in a child with chronic asthma who had severe abdominal pain, vomiting, diarrhea, and ascites.
Key Words: Non-lgE-mediated, Serosal Eosinophilic Gastroenteritis, Chronic Asthma


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