호산구성 복수를 동반한 호산구성 위장염 1예
A case of eosinophilic gastroenteritis with eosinophilic ascites
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Eosinophilic gastroenteritis is an uncommon disease of unknown cause characterized by eosinophilic infiltration in various areas of the gastrointestinal tract with gastrointestinal symptoms. It is generally classified according to the layer of the gastrointestinal tract involved. Eosinophilic infiltration of the serosa is the rarest form of presentation and may manifest eosinophilic ascites. We report a case of a 29-year-old woman who experienced rapidly progressing abdominal distension and pain. A diffuse erythematous change of the gastric mucosa was observed on gastroscopy. An abdominal computed tomography and colonoscopy showed diffuse wall thickening of the small bowel and colon with a large amount of ascites. Eosinophilic infiltration was confirmed by multiple biopsies of the gastrointestinal tract and peritoneal fluid analysis. The patient was treated with corticosteroid and responded dramatically.(Korean J Med 73:535-538, 2007)
Abstract
Eosinophilic gastroenteritis is an uncommon disease of unknown cause characterized by eosinophilic infiltration in various areas of the gastrointestinal tract with gastrointestinal symptoms. It is generally classified according to the layer of the gastrointestinal tract involved. Eosinophilic infiltration of the serosa is the rarest form of presentation and may manifest eosinophilic ascites. We report a case of a 29-year-old woman who experienced rapidly progressing abdominal distension and pain. A diffuse erythematous change of the gastric mucosa was observed on gastroscopy. An abdominal computed tomography and colonoscopy showed diffuse wall thickening of the small bowel and colon with a large amount of ascites. Eosinophilic infiltration was confirmed by multiple biopsies of the gastrointestinal tract and peritoneal fluid analysis. The patient was treated with corticosteroid and responded dramatically.(Korean J Med 73:535-538, 2007)
참고문헌 (15)
- Talley NJ, "Eosionphilic gastroenteritis, In Sleisenger and Fordtran's gastrointestinal and liver disease: pathophysiology, diagnosis, management", pp.1972~1982 (2002), WB Saunders
- Kaijser R, "Zur Kenntnis der allergischen affektionen des verdauungskanals vom standpunkt des chirurgen aus", Arch Klin Chir, 188, pp.36~64 (1937)
- Klein NC, "Eosinophilic gastroenteritis", Medicine, 49, pp.299~319 (1970)
- Kuri K, "Eosinophilic gastroenteritis manifesting with ascites", South Med J, 87, pp.956~957 (1994)
- Lee M, "Eosinophilic gastroenteritis", South Med J, 89, pp.189~194 (1996)
- Cello JP, "Eosinophilic gastroenteritis: a complex disease entity", Am J Med, 67, pp.1097~1104 (1979)
- Ureles AL, "Idiopathic eosinophilic infiltration of the gastrointestinal tract, diffuse and circumscribed: a proposed classification and review of the literature, with two additional cases", Am J Med, 30, pp.899~909 (1961)
- 김남인, "호산구 위장관염의 임상 고찰", 대한소화기학회지, 44(4), pp.217~223 (2004), 대한소화기학회
- Higgins GA, "Eosinophilic gastroenteritis", Arch Surg, 92, pp.476~483 (1966)
- Caldwell JH, "Eosinophilic gastroenteritis with obstruction: immunological studies of seven patients", Gastroenterology, 74, pp.825~828 (1978)
- Shanahan F, "Eosinophilic gastroenteritis, In Textbook of gastroenterology", pp.2557~2558 (1999), Linpincott Williams & Wilkins
- Fenoglio LM, "Eosinophilic gastroenteritis with ascites: a case report and review of the literature", Dig Dis Sci, 48, pp.1013~1020 (2003)
- Rothenberg ME, "Eosinophilic gastrointestinal disorders (EGID)", J Allergy Clin Immunol, 113, pp.11~28 (2004)
- Moots RJ, "Near fatal eosinophilic gastroenteritis responding to oral sodium chromoglycate", Gut, 29, pp.1282~1285 (1988)
- Podleski WK, "Inhibition of eosinophils degranulation by Ketotifen in a patient with milk allergy, manifested as bronchial asthma: an electron microscopic study", Agents Actions, 15, pp.177~181 (1984)