Eosinophilic Colitis, an Uncommon Cause of Diarrhea: Case Report and Literature Review

Eosinophilic colitis and hypereosinophilic syndrome with colic involvement are rare diagnosis that are characterized by wide-ranging gastrointestinal symptoms and idiopathic infiltration of eosinophils in the colon. The diagnostic workup is challenging since there are no standardized criteria. We re...

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Bibliographic Details
Main Authors: Pedro Cardoso, Catarina Elias, Renato Medas, Leila Cardoso, Armando Peixoto, Guilherme Macedo, Jorge Almeida
Format: Article
Language:English
Published: Karger Publishers 2022-12-01
Series:GE: Portuguese Journal of Gastroenterology
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Online Access:https://www.karger.com/Article/FullText/526853
Description
Summary:Eosinophilic colitis and hypereosinophilic syndrome with colic involvement are rare diagnosis that are characterized by wide-ranging gastrointestinal symptoms and idiopathic infiltration of eosinophils in the colon. The diagnostic workup is challenging since there are no standardized criteria. We report a case of a man admitted to the hospital with a history of nonbloody chronic diarrhea. The detailed workup demonstrated blood eosinophilia, and the colonic biopsies revealed extensive eosinophilic infiltration. He was treated with steroids with clinical and analytical improvement. Due to relapsing colitis after therapy withdrawal, he was chronically medicated with 10 mg of prednisolone with ultimate symptom control. This case report describes the diagnostic workup and highlights the most important features of this often underdiagnosed entity.
ISSN:2341-4545
2387-1954