All issues > Volume 38(1); 1995

Case Report

J Korean Pediatr Soc. 1995;38(1):104-109. Published online January 15, 1995.

Longterm Follow Up of A Case of Eosinophilic Gastroenteritis

So Young SY Lee¹, Jeong Kee JK Seo¹

¹Department of Pediatrics, Seoul National University, College of Medicine, Seoul, Korea

Abstract

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.

Keywords :Eosinophilic gastroenteritis, Gastritis, Duodenal ulcer, Iron deficiency anemia