Abstract

Eosinophilic enterocolitis is the rarest form in primary eosinophilic gastrointestinal disease (EGID) without other causes of eosinophilia. There are few described cases in the literature. We reported a rare case of eosinophilic colitis, where a 35-year-old woman presented to us with chronic diarrhoea associated with abdominal pain and rectal bleeding for 6 months. She had features of unspecific colitis and significant eosinophilia with the colonic biopsy reported. Diarrhoea was resolved with a course of corticosteroid. No complications or recurrences were reported. In conclusion, Eosinophilic colitis is rarely reported. Eosinophilic colitis ethology and pathogenesis is unknown. Its clinical, endoscopic and imaging features are not specific. However, this could be underdiagnosed. All chronic diarrhoea cases should be offered colonoscopy with biopsy to rule out Eosinophilic Colitis.

Highlights

  • Eosinophilic gastrointestinal disorder is characterized by eosinophilic infiltrates along the gastrointestinal tract without any other cause such as drug reactions, parasitic infections or malignancies [1]

  • We reported a rare case of eosinophilic colitis, where a 35-year-old woman presented to us with chronic diarrhoea associated with abdominal pain and rectal bleeding for 6 months

  • IL-3, IL-5 and IL-13 and granulocyte macrophage stimulation factor (GM-CSF) may play an important role in eosinophil infiltrates into colon tissue [1]

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Summary

A Rare Case Report of Primary Eosinophilic Colitis

Department of Internal Medicine, Pham Ngoc Thach University of Medicine, Vitneam *Corresponding author: Tran Thi Khanh Tuong, Department of Internal Medicine, Pham Ngoc Thach University of Medicine, 02 Duong Quang Trung, District 10, Ho Chi Minh city, Vietnam

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