All issues > Volume 38(12); 1995

Case Report

J Korean Pediatr Soc. 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 YJ Kim¹, Ha Baik HB Lee¹, Hahng H Lee¹, Eun Kyeong EK Hong², Hyun Chul HC 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

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.

Keywords :Non-lgE-mediated, Serosal Eosinophilic Gastroenteritis, Chronic Asthma