Systemic Mastocytosis Imitating Eosinophilic Enterocolitis

Eosinophilic gastrointestinal disorders produce gastrointestinal dysfunction as eosinophils accumulate throughout gastrointestinal tissues. The majority of eosinophilic gastrointestinal disorders are a diagnosis of exclusion, and a magnitude of differentials must be considered. A history of anaphyla...

Full description

Bibliographic Details
Main Authors: Tamlynn Lynette Muller, Kevin Van Der Merwe, Chris Steele, Maria Papanikolaou, Gerry O'Dowd, Vikrant Parihar
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Gastro Hep Advances
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772572322000164
_version_ 1811257813673967616
author Tamlynn Lynette Muller
Kevin Van Der Merwe
Chris Steele
Maria Papanikolaou
Gerry O'Dowd
Vikrant Parihar
author_facet Tamlynn Lynette Muller
Kevin Van Der Merwe
Chris Steele
Maria Papanikolaou
Gerry O'Dowd
Vikrant Parihar
author_sort Tamlynn Lynette Muller
collection DOAJ
description Eosinophilic gastrointestinal disorders produce gastrointestinal dysfunction as eosinophils accumulate throughout gastrointestinal tissues. The majority of eosinophilic gastrointestinal disorders are a diagnosis of exclusion, and a magnitude of differentials must be considered. A history of anaphylaxis raises the suspicion that systemic mastocytosis (SM) is the foremost differential to be considered. SM (hematological neoplasm) is characterized by the accumulation of clonal mast cells in systemic tissues that causes gastrointestinal manifestations. In these rare cases, serum tryptase and tissue staining for c-kit/CD117 (an immunohistochemical marker of mast cells) will clinch the diagnosis. Gastrointestinal manifestations of SM are expeditiously resolved with combined oral antihistamines.
first_indexed 2024-04-12T18:04:27Z
format Article
id doaj.art-7f32862af5184f6eaf4602d17d7c2d5b
institution Directory Open Access Journal
issn 2772-5723
language English
last_indexed 2024-04-12T18:04:27Z
publishDate 2022-01-01
publisher Elsevier
record_format Article
series Gastro Hep Advances
spelling doaj.art-7f32862af5184f6eaf4602d17d7c2d5b2022-12-22T03:22:03ZengElsevierGastro Hep Advances2772-57232022-01-0113417419Systemic Mastocytosis Imitating Eosinophilic EnterocolitisTamlynn Lynette Muller0Kevin Van Der Merwe1Chris Steele2Maria Papanikolaou3Gerry O'Dowd4Vikrant Parihar5Department of Internal Medicine, Letterkenny University Hospital, Letterkenny Co. Donegal, IrelandDepartment of Internal Medicine, Letterkenny University Hospital, Letterkenny Co. Donegal, IrelandDepartment of Gastroenterology, Letterkenny University Hospital, Letterkenny Co. Donegal, IrelandDepartment of Haematology, Letterkenny University Hospital, Letterkenny Co. Donegal, IrelandDepartment of Histopathology, Letterkenny University Hospital, Letterkenny Co. Donegal, IrelandDepartment of Gastroenterology, Letterkenny University Hospital, Letterkenny Co. Donegal, Ireland; Correspondence: Address correspondence to: Dr Vikrant Parihar, MD, Consultant Gastroenterologist, Department of Gastroenterology, Letterkenny University Hospital, Ireland.Eosinophilic gastrointestinal disorders produce gastrointestinal dysfunction as eosinophils accumulate throughout gastrointestinal tissues. The majority of eosinophilic gastrointestinal disorders are a diagnosis of exclusion, and a magnitude of differentials must be considered. A history of anaphylaxis raises the suspicion that systemic mastocytosis (SM) is the foremost differential to be considered. SM (hematological neoplasm) is characterized by the accumulation of clonal mast cells in systemic tissues that causes gastrointestinal manifestations. In these rare cases, serum tryptase and tissue staining for c-kit/CD117 (an immunohistochemical marker of mast cells) will clinch the diagnosis. Gastrointestinal manifestations of SM are expeditiously resolved with combined oral antihistamines.http://www.sciencedirect.com/science/article/pii/S2772572322000164Allergies, Colonoscopy, Diarrhoea, Mast Cells, Skin Manifestations
spellingShingle Tamlynn Lynette Muller
Kevin Van Der Merwe
Chris Steele
Maria Papanikolaou
Gerry O'Dowd
Vikrant Parihar
Systemic Mastocytosis Imitating Eosinophilic Enterocolitis
Gastro Hep Advances
Allergies, Colonoscopy, Diarrhoea, Mast Cells, Skin Manifestations
title Systemic Mastocytosis Imitating Eosinophilic Enterocolitis
title_full Systemic Mastocytosis Imitating Eosinophilic Enterocolitis
title_fullStr Systemic Mastocytosis Imitating Eosinophilic Enterocolitis
title_full_unstemmed Systemic Mastocytosis Imitating Eosinophilic Enterocolitis
title_short Systemic Mastocytosis Imitating Eosinophilic Enterocolitis
title_sort systemic mastocytosis imitating eosinophilic enterocolitis
topic Allergies, Colonoscopy, Diarrhoea, Mast Cells, Skin Manifestations
url http://www.sciencedirect.com/science/article/pii/S2772572322000164
work_keys_str_mv AT tamlynnlynettemuller systemicmastocytosisimitatingeosinophilicenterocolitis
AT kevinvandermerwe systemicmastocytosisimitatingeosinophilicenterocolitis
AT chrissteele systemicmastocytosisimitatingeosinophilicenterocolitis
AT mariapapanikolaou systemicmastocytosisimitatingeosinophilicenterocolitis
AT gerryodowd systemicmastocytosisimitatingeosinophilicenterocolitis
AT vikrantparihar systemicmastocytosisimitatingeosinophilicenterocolitis