Eosinophilic gastroenteritis and colitis related to cow’s milk allergy: A case report
Main Article Content
Keywords
Tóm tắt
Objective: To provide evidence on clinical, laboratory, histopathological features, diagnostic and treatment of primary eosinophilic gastroenteritis in children. Case presentation: A 7-year-old boy admitted to the 108 Military Central Hospital with symptoms of abdominal pain, nausea and vomiting, recurrent diarrhea related to cow's milk intakes. The child was diagnosed with eosinophilic gastroenteritis, combined with increased serum IgE. The disease was stabilized with corticosteroids, oral proton pump inhibitors (PPIs) combined with the elimination of cow's milk from the daily diet. Conclusion: Primary eosinophilic gastroenteritis in children was definitively diagnosed based on exclusion of other causes of eosinophilia and 3 features: Gastrointestinal symptoms, endoscopy showed gastrointestinal eosinophilic infiltration, peripheral eosinophilia. Corticosteroids are the most effective and useful symptom control drugs in most cases in combination with a diet, eliminating the allergic component.
Article Details
Các tài liệu tham khảo
2. Lucendo AJ, Arias A (2012) Eosinophilic gastroenteritis: an update. Expert Review of Gastroenterology & Hepatology 6(5): 591-601.
3. Koutri E, Papadopoulou A (2019) Eosinophilic gastrointestinal diseases in Childhood. Ann Nutr Metab Suppl 4: 18-28. doi: 10.1159/000493668.
4. Hogan SP, Rothenberg ME, Forbes E et al (2004) Chemokines in eosinophil-associated gastrointestinal disorders. Curr Allergy and Asthma Reports (4): 74-82.
5. Reda SM (2009) Gastrointestinal manifestations of food allergy. Pediatr Health 3(3): 217-229.
6. Shifflet A, Forouhar F, Wu GY (2009) Eosinophilic digestive diseases: Eosinophilic esophagitis, gastroenteritis, and colitis. The Journal of the Formosan Medical Association 108(11): 834-843.
7. Hyams JS, Di Lorenzo C, Saps M, Shulman RJ, Staiano A, van Tilburg M (2016) Childhood functional gastrointestinal disorders: Child/adolescent. Gastroenterology 150: 1456-1468.
8. Furuta GT, Boey C, Dupont C, Putnam P, Roy S et al (2008) Eosinophilic gastrointestinal diseases working group. Eosinophilic gastrointestinal diseases. J Pediatr Gastroenterol Nutr 47(2): 234-238.