Korean Journal of Gastrointestinal Endoscopy 2010;40(3): 203-208.
혈성설사를 동반한 호산구성 대장염 1예
장선익ㆍ박형열ㆍ전인선*
부산보훈병원 내과, *병리과
Eosinophilic Colitis Presenting with Bloody Diarrhea: Case Report
Sun Ik Jang, M.D., Hyeung Yeol Park, M.D. and In Sun Jun, M.D.*
Departments of Internal Medicine and *Pathology, Pusan Veterans Hospital, Busan, Korea
Abstract
Eosinophilic colitis is a chronic inflammatory bowel condition of unknown etiology and a rare subtype of eosinophilic gastrointestinal diseases. It is characterized by gastrointestinal symptoms and increased eosinophil numbers in the intestinal mucosa and absence of other potential causes of gastrointestinal eosinophilia. The clinical presentation is varied and depends on the involved layer of the large intestine. There are no confirmatory laboratory tests, and the morphologic evaluation of biopsies or surgical specimens is required to confirm the diagnosis. A 65-year-old man presented with an 8 day duration of bloody diarrhea and lower abdominal pain. The patient was diagnosed with eosinophilic colitis by histopathological evaluation of biopsies and was further categorized as a nonatopic variant associated with non-IgE-mediated reaction. The patient was successfully treated with systemic corticosteroid for 2 weeks. On follow-up after 9 months, the patient remained well without relapse or new lesions. (Korean J Gastrointest Endosc 2010;40:203-208)
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