Eosinophilic Enteritis with Ascites in a Patient with Overlap SyndromeReport as inadecuate




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Case Reports in MedicineVolume 2009 2009, Article ID 734206, 3 pages

Case Report

2nd Propedeutic Department of Internal Medicine, Hippokration General Hospital, 54643 Thessaloniki, Greece

Radiology Department, Hippokration General Hospital, 54643 Thessaloniki, Greece

Received 27 January 2009; Accepted 30 April 2009

Academic Editor: Robert A. Eisenberg

Copyright © 2009 Spyros Aslanidis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gastrointestinal involvement is frequent in patients with systemic lupus erythematosus SLE. Eosinophilic gastroenteritis, however, has only rarely been described in rheumatological conditions, despite its reported connection to autoimmune diseases, such as hypereosinophilic syndrome, vasculitides, and systemic mastoidosis. It presents typically with abdominal pain and diarrhea and is only exceptionally associated with ascites. Diagnosis can be problematic, as several other clinical conditions malignancies, infection-tuberculosis, and inflammatory bowel diseases have to be ruled out. It is basically a nonsurgical disease, with excellent recovery on conservative treatment. We report the rare case of a young woman with overlap syndrome who presented with abdominal pain and ascites. The diagnosis of eosinophilic enteritis was made based on clinical, radiological, and laboratory criteria. The patient was treated with corticosteroids with excellent response.





Author: Spyros Aslanidis, Athina Pyrpasopoulou, Kostas Soufleris, Eirini Kazantzidou, and Stella Douma

Source: https://www.hindawi.com/



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