Eosinophilic Ascites: Uncommon Presentation of Eosinophilic Gastroenteritis in a Young Adult Male

Lourenço, Luís Carvalho; Horta, David; Reis, Jorge

doi:10.1159/000453363

Cited by 5 publications

(10 citation statements)

References 4 publications

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“…In 28 cases (22%) history of allergic diseases was reported. With an equal gender ratio, 5 of them [4][5][6][7][8] had nonspecific symptoms, 9 were diagnosed with asthma [9][10][11][12][13][14][15][16][17], 1 with skin rash [18], while in rest of the patients associations between asthma, allergic rhinitis [19][20][21], skin rash as well as food, pet and drug allergy were mentioned.…”

Section: Eosinophilic Gastroenteritis (Ege)mentioning

confidence: 99%

Causes of eosinophilic ascites – A systematic review

Pinte

Băicuș

2019

Romanian Journal of Internal Medicine

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Background. In the last years an uprising interest for a relatively unknown entity, eosinophilic ascites (EA), has been recorded. Our aim is to investigate the potential causes of EA development, as well as clinical, laboratory, endoscopic and radiologic features, management and outcome in these patients. Methods. The following research was performed on PubMed (MEDLINE) database using the medical subject headings [Mesh] terms “Ascites” AND “Eosinophils”. Results. A total of 284 results, dating from 1962 onwards, were found and abstracts were examined. 131 papers were excluded and the remaining 153 publications, consisting in case reports and series of cases, were analyzed. From 171 patients with EA, 127 subjects (74%) had EGE, 17 (10%) parasitic and fungal infections, 11(7%) Hypereosinophilic syndrome and 16 patients (9%) less common diseases (eosinophilic pancreatitis, chronic eosinophilic leukemia, myelofibrosis, T-cell lymphoma, Churg Strauss Syndrome, Systemic lupus erythematosus, Familial paroxysmal polyserositis and Ménétrier’s disease). High eosinophil blood count and IgE levels as well as gastrointestinal symptoms are frequent. The diagnosis is based on ascitic fluid analysis, imaging and endoscopic biopsies. Therapy with corticosteroids results in resolution of eosinophilic ascites in almost all patients. Conclusion. In most cases, in the absence of allergy, parasitic infections, malignancy, hematological disorders, peritoneal tuberculosis, inflammatory bowel disease or autoimmune disease, EA develops as a manifestation of eosinophilic gastroenteritis.

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Section: Eosinophilic Gastroenteritis (Ege)mentioning

confidence: 99%

Causes of eosinophilic ascites – A systematic review

Pinte

Băicuș

2019

Romanian Journal of Internal Medicine

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“…Eosinophilic gastroenteritis is a form of Type 1 hypersensitivity disease that can be associated with other atopic diseases [2]. Personal and family history of food allergy and atopy can be found in up to 50% of cases, with an increased incidence of eosinophilic gastroenteritis in patients with a history of other atopic diseases, including asthma, and allergic rhinitis [2,4]. The clinical presentation of eosinophilic gastroenteritis varies depending on the extent of involvement of the gastrointestinal tract, and the depth of infiltration of the gastrointestinal wall [4].…”

Section: Introductionmentioning

confidence: 99%

“…Personal and family history of food allergy and atopy can be found in up to 50% of cases, with an increased incidence of eosinophilic gastroenteritis in patients with a history of other atopic diseases, including asthma, and allergic rhinitis [2,4]. The clinical presentation of eosinophilic gastroenteritis varies depending on the extent of involvement of the gastrointestinal tract, and the depth of infiltration of the gastrointestinal wall [4]. Klein et al classified eosinophilic gastroenteritis according to the depth of eosinophilic infiltration into the mucosa, muscularis propria, and serosa [2].…”

Section: Introductionmentioning

confidence: 99%

“…Eosinophilic gastroenteritis can have a variable clinical course. Following steroid treatment, a subset of patients will have no recurrence, while others undergo repeated and long courses of steroidal therapy due to frequent recurrences [4]. There remains no agreement regarding the ideal treatment for eosinophilic gastroenteritis, but systemic steroid therapy remains the standard therapeutic approach [3].…”

Section: Introductionmentioning

confidence: 99%

“…There remains no agreement regarding the ideal treatment for eosinophilic gastroenteritis, but systemic steroid therapy remains the standard therapeutic approach [3]. Other treatments for eosinophilic gastroenteritis include mast cell inhibitors, antihistamines, or leukotriene receptor antagonists [4]. Serosal eosinophilic infiltrates are present in 10% of the cases of eosinophilic gastroenteritis, and a hallmark if this subtype is peripheral eosinophilia and ascites [5].…”

Section: Introductionmentioning

confidence: 99%

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A Case of Eosinophilic Gastroenteritis Associated with Eosinophilic Ascites Diagnosed by Full-Thickness Biopsy of the Small Intestine

et al. 2019

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Patient: Male, 28Final Diagnosis: Eosinophilic gastroentritisSymptoms: Abdominal and/or epigastric pain • ascitesMedication: —Clinical Procedure: Full-thickness biopsySpecialty: Diagnostics, LaboratoryObjective:Unusual clinical courseBackground:Eosinophilic gastroenteritis is a rare disease, characterized by infiltrates of eosinophils in the intestinal mucosa, muscularis propria, and serosa. Eosinophilic gastroenteritis is due to Type 1 hypersensitivity and can be associated with other atopic diseases. The clinical course of eosinophilic gastroenteritis varies depending on the location, extent, and depth of eosinophilic infiltration of the gastrointestinal tract, which can make the diagnosis challenging. A case of eosinophilic gastroenteritis associated with eosinophilic ascites is presented that emphasizes the importance of full-thickness intestinal biopsy, which includes the muscularis propria, to allow the definitive diagnosis to be made.Case Report:A 28-year-old man presented with vague abdominal pain, nonspecific gastrointestinal symptoms, unintentional weight loss, and progressive ascites during the previous several months. A diagnosis of eosinophilic gastroenteritis was made after the exclusion of other possible causes, which was confirmed by histopathology of a full-thickness intestinal biopsy. The patient was treated with steroids. At one-month follow-up, the patient reported reduced abdominal pain.Conclusions:A case of eosinophilic gastroenteritis associated with eosinophilic ascites is presented that emphasizes the importance of full-thickness intestinal biopsy, which includes the muscularis propria, to allow the definitive diagnosis to be made.

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