Eosinophilic gastritis: In relation to a case

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Abstract

Introduction: Eosinophilic gastroenteritis is a rare disease characterized by the presence of tissue eosinophilia, which affects the different layers of the intestinal wall.This type of gastritis is characterized by an intense eosinophilic infiltration that can affect only the gastric mucosa or all its layers up to the serosa. The clinical presentation differs on the position and extent of the eosinophil infiltration, as well as its depth through the bowel wall.
Objective: To present the case of a patient diagnosed and treated as eosinophilic gastritis.
Case report: A 47-year-old white male patient from Camagüey province, who attends the Gastroenterology Service of the Manuel Ascunce Domenech University Hospital, Camagüey province; in October 2019. He reported that during the last two months he had consulted primary care sporadically due to epigastric discomfort, these episodes subsided with short courses of antacids. The symptoms began to worsen and became more resistant to treatment, with nausea, vomiting and marked weight loss appearing. It was decided to start performing analytical studies on the patient.
Conclusions: The result of the histological study was a severe chronic inflammatory infiltrate with the presence of eosinophils more than 50% that extends to all layers with reactive glandular epithelium, concluding it as eosinophilic gastritis.

DeCS: EOSINOPHILIA; ADRENAL CORTEX HORMONES; GASTROENTERITIS; ENDOSCOPIC MUCOSAL RESECTION; GASTRITIS, ATROPHIC.

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References

1. Paniagua Estévez ME, Piñol Jiménez FN, Gra Oramas B, González Carvajal M, Váldes Alonso L, Pereiras Costa R. Gastritis aguda y crónica. En: Paniagua Estévez ME, Piñol Jiménez FN, editores. Gastroenterología y hepatología clínica. La Habana: ECIMED; 2015. p. 827-864.

2. Hui CK, Hui NK. A Prospective Study on the Prevalence, Extent of Disease and Outcome of Eosinophilic Gastroenteritis in Patients Presenting with Lower Abdominal Symptoms. Gut Liver [Internet]. 2018 May [citado 30 Sep 2020];12(3):288-96. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5945260/.

3. Fragoso Arbelo T. Gastroenteritis eosinofílica. En: Paniagua Estévez ME, Piñol Jiménez FN, editores. Gastroenterología y hepatología clínica. La Habana: ECIMED; 2015. p. 1179-1183.

4. Koutri E, Papadopoulou A. Eosinophilic Gastrointestinal Diseases in Childhood. Ann Nutr Metab [Internet]. 2019 Feb [citado 30 Sep 2020];73(4):18-28. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30783041/.

5. Steinbach E, Hernández M, Dellon ES. Eosinophilic Esophagitis and the Eosinophilic Gastrointestinal Diseases: Approach to Diagnosis and Management. J Allergy Clin Immunol Pract [Internet]. 2018 Sep-Oct [citado 30 Sep 2020];6(5):1483-95. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134874/.

6. Spergel JM, Aceves SS, Kliewer K, Gonsalves N, Chehade M, Wechsler JB, et al. New developments in patients with eosinophilic gastrointestinal diseases presented at the CEGIR/TIGERS Symposium at the 2018 American Academy of Allergy, Asthma & Immunology Meeting. J Allergy Clin Immunol [Internet]. 2018 Jul [citado 30 Sep 2020];142(1):48-53. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129859/.

7. Conan PL, Flateau C, Delattre C, Cremades A, Andriamanantena D, Rapp C, et al. Hypereosinophilia and epigastralgia after visiting Tunisia: a rare differential diagnosis of helminthiases. Med Sante Trop [Internet] 2018 Ago [citado 30 Sept 2020];28(3):334-36. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30270843/.

8. Imaeda H, Yamaoka M, Ohgo H, Yoneno K, Kobayashi T, Noguchi T, et al. Eosinophil infiltration in the upper gastrointestinal tract of patients with bronchial asthma. Allergol Int [Internet]. 2016 Sep [citado 30 Sep 2020];65(Suppl):S6-S10. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27118436/

9. Daidone A, Barbi E, Villanacci V, Di Leo G. Severe anaemia after gastric biopsy in an infant with eosinophilic gastritis. Ital J Pediatr [Internet]. 2019 Jun [citado 30 Sep 2020];45(1):69. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31171002/.

10. Ashitani K, Tsuzuki Y, Yamaoka M, Ohgo H, Ichimura T, Kusano T, et al. Endoscopic Features and Diagnostic Procedures of Eosinophilic Gastroenteritis. Intern Med [Internet]. 2019 Ago [citado 30 Sep 2020];58(15):2167-71. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709335/.

11. Kinoshita Y, Ishimura N, Oshima N, Mikami H, Okimoto E, Jiao DJ, et al. Recent Progress in the Research of Eosinophilic Esophagitis and Gastroenteritis. Digestion [Internet]. 2016 [citado 30 Sept 2020];93(1):7-12. Disponible en: https://www.karger.com/Article/Fulltext/441668

12. Chen B, Yang Z, Lu H, Wei C, Wang F, Liu C. Eosinophilic gastroenteritis presenting as upper gastrointestinal hematoma and ulcers after endoscopic biopsy: A case report and literature review. Medicine (Baltimore) [Internet]. 2017 Sep [citado 30 Sep 2020];96(37):e8075. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5604677/.

13. Genta RM, Sonnenberg A, Turner K. Quantification of the duodenal eosinophil content in adults: a necessary step for an evidence-based diagnosis of duodenal eosinophilia. Aliment Pharmacol Ther [Internet]. 2018 Abr [citado 30 Sep 2020];47(8):1143-50. Disponible: en: https://onlinelibrary.wiley.com/doi/10.1111/apt.14558

14. Naramore S, Gupta SK. Non-esophageal eosinophilic gastrointestinal disorders: clinical care and future directions. J Pediatr Gastroenterol Nutr [Internet]. 2018 Sep [citado 30 Sep 2020];67(3):318-21. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6743078/.

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Published

2022-07-17

How to Cite

1.
Rabassa-Pérez R, Rojas-Peláez Y, Chiong-Quesada M, Trujillo Pérez YL. Eosinophilic gastritis: In relation to a case. Arch méd Camagüey [Internet]. 2022 Jul. 17 [cited 2025 Aug. 1];26:e8843. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/8843

Issue

Vol. 26 (2022): (publicación continua)

Section

Case Reports

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