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Emergency Medicine Journal 2005;22:834-835; doi:10.1136/emj.2004.016337
© 2005 BMJ Publishing Group Ltd and the College of Emergency Medicine.

CASE REPORT

Eosinophilic gastroenteritis presenting as relapsing severe abdominal pain and enteropathy with protein loss

H-H Lin1, C-H Wu1, L-S Wu2, R-Y Shyu1

1 Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
2 Department of Internal Medicine, Army Forces Hualien General Hospital, Hualien, Taiwan

Correspondence to:
Correspondence to:
Dr R-Y Shyu
Division of Gastroenterology, Department of Medicine, Tri-Service General Hospital, No. 325, Sec 2, Cheng-Kung Rd., Neihu 114, Taipei, Taiwan, China; redstone120{at}yahoo.com.tw

ABSTRACT

Eosinophilic gastroenteritis (EG) is an uncommon gastrointestinal tract disease, and diagnosis can be difficult. A combination of acute or recurrent abdominal pain with peripheral hypereosinophilia suggests the diagnosis. Surgery in patients with these features might therefore be avoided. Physicians must maintain a high index of suspicion and a working knowledge of the natural history of EG in order to establish the proper diagnosis. We present the case of a young man with EG who presented with relapsing severe abdominal pain and enteropathy with protein loss.

Abbreviations: EG, eosinophilic gastroenteritis

Keywords: acute abdomen; eosinophilic gastroenteritis; protein-losing enteropathy


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