Department of Gastroenterology, Amato Lusitano Hospital, Castelo Branco, Portugal.
Department of Clinical Pathology, Amato Lusitano Hospital, Castelo Branco, Portugal.
Int J Colorectal Dis. 2020 Apr;35(4):769-773. doi: 10.1007/s00384-020-03523-z. Epub 2020 Jan 31.
Eosinophilic enterocolitis is a rare condition included in the spectrum of the eosinophilic gastrointestinal disorders. Diagnosis is based on clinical presentation combined with an increase infiltration of eosinophils in the gastrointestinal tract, in the absence of other secondary causes of eosinophilic infiltration.
We report a case of a 22-year-old male with eosinophilic enterocolitis presenting with malabsorption syndrome (diarrhea, vomiting, weight loss), bowel wall thickening, and ascites. Secondary causes of intestinal eosinophilia were excluded, and diagnosis was established in a timely manner. Treatment plan included a 6-food elimination diet and corticosteroid therapy, with clinical remission after 2 weeks of therapy. The patient remains asymptomatic after 12 months of follow-up, with no relapse.
嗜酸性胃肠炎是一种罕见的疾病，属于嗜酸性胃肠道疾病的范畴。诊断基于临床表现，并伴有胃肠道嗜酸性粒细胞浸润增加，无其他嗜酸性粒细胞浸润的继发性原因。
我们报告了一例 22 岁男性嗜酸性胃肠炎病例，表现为吸收不良综合征（腹泻、呕吐、体重减轻）、肠壁增厚和腹水。排除了肠道嗜酸性粒细胞增多的继发性原因，并及时做出了诊断。治疗方案包括 6 种食物排除饮食和皮质类固醇治疗，治疗 2 周后临床缓解。患者在 12 个月的随访中无症状，无复发。
