scholarly journals Eosinophilic gastroenteritis: a case report and review of the literature

2012 ◽  
Author(s):  
Paolo Biagi ◽  
Luigi Abate ◽  
Carmine Mellone ◽  
Stefania Salvadori ◽  
Andrea Peccetti ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Eosinophilic Gastroenteritis ◽  
Unknown Etiology ◽  
Peripheral Eosinophilia ◽  
Review Of The Literature ◽  
Radiological Findings ◽  
Complex Disorder ◽  
Colonic Involvement ◽  
Histologic Pattern

BackgroundEosinophilic gastroenteritis (EoG) is a rare disease of unknown etiology characterized by patchy or diffuse eosinophilic infiltration of the gastrointestinal tract wall. As clinical presentation and endoscopic/ radiological findings are nonspecific, diagnosis may only be ascertained by histologic findings.Clinical case This article presents a case of EoG with associated colonic involvement but without peripheral eosinophilia. Although no allergy could be demonstrated, the clinical symptoms and histologic pattern of diffuse eosinophilic mucosal infiltration disappeared after steroid therapy, as discovered by a careful endoscopic follow-up.Discussion Current concepts of this complex disorder and a review of the literature are presented.

scholarly journals Erythromelanosis Follicularis Faciei et Colli: A Case Report in a Caucasian Male and Brief Review of the Literature

2020 ◽  
Vol 12 (3) ◽  
pp. 231-235
Author(s):  
Carl Maximilian Thielmann ◽  
Wiebke Sondermann
Keyword(s):  
Case Report ◽  
Family History ◽  
Clinical Presentation ◽  
Rare Condition ◽  
Unknown Etiology ◽  
Review Of The Literature ◽  
Caucasian Male

Erythromelanosis follicularis faciei et colli, a rare condition of unknown etiology, was first described by Kitamura et al. from Japan in 1960. It is characterized by a triad consisting of well-demarcated erythema, hyperpigmentation, and follicular papules. We report the case of a 50-year-old Caucasian male, who had asymptomatic symmetrical facial lesions since the age of 42. His family history was unremarkable. Published erythromelanosis follicularis faciei et colli cases of the last 10 years are summarized in this report to demonstrate the variability and differences in the clinical presentation of this uncommon diagnosis.

scholarly journals Eosinophilic Enterocolitis Diagnosed by Means of Upper Endoscopy and Colonoscopy with Random Biopsies Treated with Budenoside: A Case Report and Review of the Literature

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Ghulamullah Shahzad ◽  
Duane Moise ◽  
Seth Lipka ◽  
Kaleem Rizvon ◽  
Paul J. Mustacchia
Keyword(s):  
Inflammatory Process ◽  
Colonic Mucosa ◽  
Clinical Presentation ◽  
Age Group ◽  
Pediatric Age ◽  
Peripheral Eosinophilia ◽  
Review Of The Literature ◽  
Unique Case ◽  
Protein Losing Enteropathy ◽  
Pediatric Age Group

Intense infiltration of gastrointestinal and colonic mucosa with eosinophils or acidophilic gastroenteritis (EG) is a relatively uncommon picture for a pathologist endoscopist especially outside the pediatric age group and is highly suggestive of an ongoing chronic inflammatory process. Existing literature projected a hypothetical association with allergy but the exact pathophysiology is still unknown. Association with malabsorption, protein losing enteropathy, and refractory ulcers with gastrointestinal bleeding makes the clinical presentation more complicated. We present a unique case of diarrhea and abdominal pain in the clinical presentation with associated peripheral eosinophilia, asthma, and gastroesophageal reflux disease (GERD). The patient's symptoms abated after initiation of budesonide.

scholarly journals Perforated Duodenal Ulcer in a Pediatric Patient with Eosinophilic Gastroenteritis

1997 ◽  
Vol 11 (3) ◽  
pp. 208-212 ◽  
Author(s):  
Colette Deslandres ◽  
Pierre Russo ◽  
Peter Gould ◽  
Pierre Hardy
Keyword(s):  
Gastroduodenal Ulcer ◽  
Failure To Thrive ◽  
Elimination Diet ◽  
Eosinophilic Gastroenteritis ◽  
Skin Tests ◽  
Food Allergies ◽  
Peripheral Eosinophilia ◽  
Review Of The Literature ◽  
Perforated Gastroduodenal Ulcer ◽  
Work Up

An 11-year-old boy with eosinophilic gastroenteritis treated by an elimination diet alone presented with a perforated gastroduodenal ulcer subsequent to blunt trauma to the abdomen. Peripheral eosinophilia, chronic iron deficiency, chronic hypoalbuminemia and severe failure to thrive had been present since age 2 years. Immunological work-up revealed food allergies, documented by skin tests. A review of the literature since 1966 revealed only six other cases of perforation of the gastrointestinal tract, one of whom was also a child.

Enterocolic Lymphocytic Phlebitis: Clinicopathologic Features and Review of the Literature

2007 ◽  
Vol 131 (7) ◽  
pp. 1130-1134 ◽  
Author(s):  
Nyethane Ngo ◽  
Fuju Chang
Keyword(s):  
Venous Thrombosis ◽  
Bowel Wall ◽  
Clinical Presentation ◽  
Systemic Vasculitis ◽  
Unknown Etiology ◽  
Clinicopathologic Features ◽  
Review Of The Literature ◽  
Endoscopic Findings ◽  
Arterial Involvement ◽  
Histopathologic Features

Abstract Enterocolic lymphocytic phlebitis (ELP) is a recently described entity and is of unknown etiology and pathogenesis. It is characterized by phlebitis of the bowel wall and mesentery, without arterial involvement or evidence of systemic vasculitis. The clinical presentation of ELP is varied, but it most commonly manifests with signs of an acute abdomen. Clinical, radiologic, and endoscopic findings are often conflicting and misdiagnosis is common as venous thrombosis is not suspected. The diagnosis of ELP is obtained histologically. There is a spectrum of histologic features associated with ELP, which includes lymphocytic phlebitis, necrotizing phlebitis, granulomatous phlebitis, and myointimal hyperplasia. Other features include venous thrombi and acute ischemic changes of the intestine. Surgical resection of the affected bowel is usually curative and recurrences are rare. The clinical and histopathologic features of ELP are reviewed.

scholarly journals MANAGEMENT OF GARBHODAKAVRIDDHI W.S.R. TO POLYHYDRAMNIOS THROUGH AYURVEDA - A CASE REPORT

2021 ◽  
Vol 9 (7) ◽  
pp. 1564-1570
Author(s):  
Divya Deepak Patil ◽  
Sonu Sonu ◽  
Vipin Tanwar ◽  
Mukesh Chaudhari
Keyword(s):  
Perinatal Outcome ◽  
Standard Treatment ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Perinatal Morbidity ◽  
Radiological Findings ◽  
Optimal Range ◽  
Significant Correction ◽  
Common Clinical Presentation ◽  
Abdominal Examination

Introduction: Polyhydramnios is a relatively common clinical presentation in pregnancy with a varying incidence of 1-2% of cases. There is yet no data suggestive of improvement in perinatal outcome with antenatal fetal surveil- lance. Since it is associated with significant perinatal morbidity and mortality, fixing up a standard treatment pro- tocol for its management is needed. Case Description: A 28-year-old female patient consulted Prasutitantra and Streeroga OPD, NIA Hospital, Jaipur complaining of difficulty in breathing, palpitations, hyperacidity for 15 days with 8 months of amenorrhea. Diagnosis: Based on abdominal examination and radiological findings, the case was diagnosed with polyhydramnios. On the correlation of symptoms as stated by Acharya Sushruta, Ayurvedic diag- nosis of Garbhavriddhi was made. Intervention: As in the management of garbhavriddhi, practices involving appropriate samshodhana (purifying) and sanshamana (suppressive) yet kshaya-avirodhi karma (not causing loss of dosha or dhatu below optimal range) are prescribed. Hence, an intervention of Ksheerabasti with Punar- navashtaka Kwatha was done along with the oral medication in the present study. Outcome: USG done after 7 days of treatment course showed significant correction in AFI as well relief from clinical symptoms. Conclusion: This case illustrates that Polyhydramnios can be managed effectively and safely with Punarnavashtaka kwatha ksheera basti. Mutrajanana, Srotoshodhana, Kledapachana, and Shothaghna are the main actions essential in its manage- ment. Keywords: Garbhavriddhi, Polyhydramnios, Punarnavashtaka kwatha, Ksheera basti

scholarly journals An Atypical Case of Eosinophilic Gastroenteritis Presenting as Hypovolemic Shock

2015 ◽  
Vol 9 (2) ◽  
pp. 142-151 ◽  
Author(s):  
Miguel Martillo ◽  
Jean Abed ◽  
Michael Herman ◽  
Elie Abed ◽  
Wenjing Shi ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Clinical Presentation ◽  
Hypovolemic Shock ◽  
Eosinophilic Gastroenteritis ◽  
Peripheral Eosinophilia ◽  
Diffuse Infiltration ◽  
Severe Diarrhea ◽  
Normal Ranges ◽  
Uncommon Condition ◽  
Definition Of

Eosinophilic gastroenteritis is an uncommon condition characterized by focal or diffuse infiltration of eosinophils in the gastrointestinal tract in the absence of secondary causes. The pathogenesis of this condition is not well understood and its clinical presentation depends on the segment and layer of the gastrointestinal tract affected. The definition of eosinophilic gastroenteritis may be difficult, as the normal ranges of eosinophil numbers in normal and abnormal gastric and intestinal mucosa are not standardized. We present the case of a 59-year-old male who came to the hospital with hypovolemic shock and lethargy secondary to severe diarrhea. Laboratory analysis was significant for peripheral eosinophilia, and pathology from both the duodenum and colon showed marked eosinophilic infiltration.

scholarly journals Different Clinical Presentation of Appendicolithiasis. The Report of Three Cases and Review of the Literature

2011 ◽  
Vol 4 ◽  
pp. CPath.S6757 ◽  
Author(s):  
Bulent Kaya ◽  
Cengiz Eris
Keyword(s):  
Computed Tomography ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Perforated Appendicitis ◽  
Clinical Findings ◽  
Complicated Appendicitis ◽  
The Other ◽  
Mineral Deposits ◽  
Review Of The Literature ◽  
Abdominal Computed Tomography

An appendicolith is composed of firm feces and some mineral deposits. After increased use of abdominal computed tomography, appendicoliths are more frequently detected. Most of the patients with appendicolith are asymptomatic. However, an appendicolith may be associated with complicated appendicitis with serious outcomes. We reported three patients who exhibited different clinical symptoms due to appendicolithiasis. While one of the patients was confused with urolithiasis, the other two patients presented with phlegmenous and perforated appendicitis. We submit that appendicoliths may present different clinical findings and can mimic several pathologies including urinary disorders.

scholarly journals Protein Loosing Enteropathy Secondary to Strongyloidiasis: Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Weam El Hajj ◽  
Gilbert Nakad ◽  
Antoine Abou Rached
Keyword(s):  
Elderly Patient ◽  
Abdominal Pain ◽  
Clinical Presentation ◽  
Risk Groups ◽  
Peripheral Eosinophilia ◽  
Review Of The Literature ◽  
The World ◽  
Lebanese Population ◽  
Significant Burden ◽  
Colonic Biopsies

Strongyloidiasis is a helminthic disease which affects millions around the world resulting in a significant burden in certain high risk groups. It is rarely reported in the Lebanese population probably due to the low index of suspicion in common practice. We are reporting a case of strongyloidiasis that was found in an elderly patient presenting initially with dyspnea followed by skin rash, protein loosing enteropathy, diarrhea, and abdominal pain while on corticosteroid therapy. The diagnosis was suspected based on clinical presentation in addition to peripheral eosinophilia. We will also describe the upper and lower endoscopic aspects of the disease, as well as histologic findings on duodenal and colonic biopsies.

The sphenoid sinus mucocoele

1981 ◽  
Vol 95 (5) ◽  
pp. 493-502 ◽  
Author(s):  
S. L. Sellars ◽  
J. C. De Villiers
Keyword(s):  
Surgical Treatment ◽  
Sphenoid Sinus ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Radiological Findings ◽  
Early States ◽  
Symptoms And Signs ◽  
Sphenoid Sinuses

SummaryMucocoeles, mucopyocoeles and empyemas of the sphenoid sinus are rare, but potentially dangerous. Their occurrence is accompanied by a multitude of clinical symptoms and signs, which confuse the diagnosis and may lead to its mismanagement. The treatment of this condition is surgical and in its early states essentially simple.At Groote Schuur Hospital over a 6-year period (1972–1977) 6 patients with mucocoeles, mucopyocoeles or abscesses of the sphenoid sinuses have been seen. Their clinical presentation, radiological findings and surgical treatment are described and discussed. Correctly managed this condition should completely resolve; however, there is a mortality associated with delay or misdiagnosis.

Pituitary Apoplexy: A Review

Neurosurgery ◽  
1984 ◽  
Vol 14 (3) ◽  
pp. 363-373 ◽  
Author(s):  
Ramos Cardoso Erico ◽  
Weston Peterson Eric
Keyword(s):  
Differential Diagnosis ◽  
Surgical Treatment ◽  
Natural History ◽  
Pituitary Apoplexy ◽  
Clinical Presentation ◽  
Historical Evolution ◽  
Review Of The Literature ◽  
Radiological Findings ◽  
Hemorrhagic Complications ◽  
Endocrine Alterations

Abstract The authors present a critical review of the literature on the hemorrhagic complications of pituitary adenomas, especially those leading to apoplexy. They emphasize the distinction between pituitary apoplexy, hemorrhages leading to sudden endocrine alterations, and asymptomatic hemorrhages. Moreover, they speculate upon the possible pathophysiology of pituitary apoplexy and its predisposing factors. The clinical presentation, natural history, radiological findings, and differential diagnosis are also discussed. Finally, the historical evolution of the treatment of pituitary apoplexy is reviewed, with emphasis on the surgical treatment.

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