Abstract
Eosinophilic gastroenteritis is a rare but highly recurrent condition of unknown aetiology. It is characterised by peripheral eosinophilia with extensive infiltration of gastrointestinal (GI) wall layers by eosinophils causing a variety of clinical features & complications. Corticosteroids & food restriction are the main treatment options and are effective in inducing remission of most patients.
Highlights
Eosinophilic gastroenteritis is a rare but highly recurrent condition of unknown aetiology
We presented a known asthmatic patient that had esophageal symptoms & unexplained ascites for months
The development of food impaction & unexplained ascites in this asthmatic patient led to the clinical consideration of eosinophilic gastroenteritis that was confirmed by presence of peripheral eosinophilia in Complete blood count (CBC), predominant eosinophils with serum ascites-albumin gradient (SAAG) 15/hpf) in esophageal & gastric biopsy results after upper GI endoscopy
Summary
He is not smoking & had no other special habits of medical importance He had a history of bronchial asthma for 12 years with occasional use of inhaled B2-agonists for relieve of bronchospasm. He had no known drug or food allergy. No diarrhea, bleeding, fever, rash or significant weight loss He stated that he had a poorer control of his asthma symptoms through the past 2 months with more frequent use of his reliever inhalers. The patient was diagnosed as eosinophilic esophagitis with eosinophilic ascites He received initially prednisolone 30 mg orally/day along with empirical 6-food elimination diets. The patient showed only partial improvement of his esophageal symptoms and the amount of ascites after two weeks of treatment.
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