Abstract
Weeping Pink Dahlia: A case of Eosinophilic Gastroenteritis, Serosal Subtype
Yusi, Jan Axel L. MD, Pilar, Lleza M.D
Significance: Eosinophilic gastroenteritis (EGE) is an inflammatory disorder of the gastrointestinal (GI) tract characterized by eosinophilic infiltration of the bowel wall, because the symptoms are very similar to other GI disorders, EGE has been often underdiagnosed and thus considered a rare disorder
Clinical Presentation: This a case of a 24/F with no known co morbidities and no known allergies, who had a 2 week history of on and off crampy abdominal pain, watery stools occurring 3 to 4 episdoes per day amounting to 3 glasses per episode; no associated fever, overt bleeding or weight loss. Ultrasound done at the outpatient revealed presence of moderate ascites.
Management: CT scan done revealed a long segment bowel wall thickening from the duodenum until ileum and moderate ascites. Halo sign and arnaeib limb like sign were also appreciated. Upper GI endoscopy with gastric and duodenal biopsies showed mucosal erosions in the gastric and duodenal mucosa. Histopathology revealed mucosal eosinophilic infiltration (almost 100/hpf). Patient’s IgE is normal and food allergy panel is negative. Steroids and PPI were started. There was noted resolution of symptoms after steroid initiation.
Recommendation: Eosinophilic GI disorders are considered rare disease conditions but can also be due to under reporting because of its non specific Gastrointestinal presentation. Clinicians must have a high index of suspicion and include EGE as one differential especially in patients with peripheral eosinophilia.
Important Dates to Remember
| JRRE Activities 2023-2024 |
Proposed Dates |
|---|---|
| Resumption of face-to-face Evidence-Based Medicine Workshop Venue to be announced once finalized. |
July 21, 2023 (Friday), 1-5pm |
| Monthly Critical Appraisal of Topics Conferences to be gaciliated by Research Coordinators per Institution | Monthly Critical Appraisal of Topics Conferences per Institution |
| CAT Plenary/Liver Con Dates: September 23, 2023 December 16, 2023 March 2024 (During the JAC) Resumption of face-to-face Quarterly Critical Appraisal of Topics facilitated by the JRRE |
2 Clinical scenarios and articles are to be sent to institutions each on August 2023, November 2023, and February 2024; |
| Hybrid Research Workshop 4 week asynchronous via Moodle, followed by a 1 day on-site Onsite Workshop Research Protocol Presentation for Level I GI Fellows-In-Training - Research Protocol Presentation: August 12, 2023 - Research Forums of the Tripartite Societies |
Week 1: July 15-21, 2023 Week 2: July 22-28, 2023 Week 3: July 29-August 4, 2023 Week 4: August 5-11, 2023 |
| Research Manuscript Workshop for level II GI Fellows-In-Training | January 6, 2024 |