Okimoto Eiko, Ishimura Norihisa, Okada Mayumi, Mikami Hironobu, Sonoyama Hiroki, Ishikawa Nahoko, Araki Asuka, Oshima Naoki, Hirai Junko, Ishihara Shunji, Maruyama Riruke, Kinoshita Yoshikazu
Department of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Japan.
Department of Pathology, Shimane University School of Medicine, Izumo, Japan.
ACG Case Rep J. 2018 May 23;5:e38. doi: 10.14309/crj.2018.38. eCollection 2018.
We successfully treated a 22-year-old woman with eosinophilic gastroenteritis (EGE) using a multiple food-elimination diet. The patient was diagnosed with EGE based on histopathological findings and initially treated with oral prednisolone. The symptoms immediately improved, although they recurred when prednisolone was tapered to a low dose. We then treated her with a multiple food-elimination diet, including milk, soy, eggs, wheat, nuts, seafood, and rice. During dietary treatment, we identified dairy products and eggs as causative foods of the symptoms, and we ceased prednisolone. Similar to eosinophilic esophagitis, an elimination diet may be effective for adult patients with EGE.
我们采用多种食物排除饮食法成功治疗了一名22岁的嗜酸性粒细胞性胃肠炎(EGE)女性患者。该患者根据组织病理学检查结果被诊断为EGE,最初接受口服泼尼松龙治疗。症状立即得到改善,不过当泼尼松龙减至低剂量时症状复发。随后我们用多种食物排除饮食法对她进行治疗,排除的食物包括牛奶、大豆、鸡蛋、小麦、坚果、海鲜和大米。在饮食治疗期间,我们确定乳制品和鸡蛋是导致症状的食物,于是停用了泼尼松龙。与嗜酸性粒细胞性食管炎类似,排除饮食法可能对成年EGE患者有效。