Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Case of Non-IgE-mediated Eosinophilic Gastroenteritis Presenting as Ascites

복수로 발현된 비 IgE 매개성 호산구성 위장관염 1예

  • Yi, Eun-Sang (Departments of Pediatrics, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Kim, Mi-Jin (Departments of Pediatrics, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Ha, Sang-Yun (Departments of Pathology, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Lee, Yoo-Min (Departments of Pediatrics, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Choi, Kyong-Eun (Departments of Pediatrics, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Choe, Yon-Ho (Departments of Pediatrics, Samsung Medical Center, School of Medicine, Sungkyunkwan University)
  • 이은상 (성균관대학교 의과대학 삼성서울병원 소아청소년과) ;
  • 김미진 (성균관대학교 의과대학 삼성서울병원 소아청소년과) ;
  • 하상윤 (성균관대학교 의과대학 삼성서울병원 병리과) ;
  • 이유민 (성균관대학교 의과대학 삼성서울병원 소아청소년과) ;
  • 최경은 (성균관대학교 의과대학 삼성서울병원 소아청소년과) ;
  • 최연호 (성균관대학교 의과대학 삼성서울병원 소아청소년과)
  • Received : 2011.04.18
  • Accepted : 2011.06.08
  • Published : 2011.06.30
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Abstract

Eosinophilic gastroenteritis is a rare disease occurring especially in children, and shows various nonspecific presentations with infiltration of eosinophils in the gastrointestinal organs. The pathophysiology of eosinophilic gastroenteritis is not yet clearly known, but allergic reactions are suspected to be related with the disease. Eosinophilic gastroenteritis is categorized into the mucosal, muscularis and subserosal types based on which layer of the intestinal wall is involved. There are different clinical manifestations according to the involved layer. Most cases to date have responded well to steroid therapy. In this study, we diagnosed and treated a case of non-IgE-mediated, subserosal eosinophilic gastroenteritis in a child with abdominal pain, diarrhea and ascites.

저자들은 구토, 설사와 같은 비특이적인 증상과 복수가 발생한 13세 남아에서 말초혈액의 호산구 증가 소견이 있고 IgE는 정상범위이며, 내시경 생검상 식도, 소장, 대장 및 직장에서 특징적인 호산구 침윤 소견이 관찰되어 비 IgE 매개성 호산구성 위장관염으로 진단된 1예를 경험하였으며 스테로이드 투여로 증상 호전을 보였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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