호산구성 위장관염 1례

A Case of Eosinophilic Gastroenteritis

  • 이화윤 (성가롤로병원 소아과) ;
  • 김찬종 (전남대학교 의과대학 소아과학교실)
  • Lee, Hwa Yun (Department of Pediatrics, St. Carollo Hospital) ;
  • Kim, Chan Jong (Department of Pediatrics, Chonnam National University Medical School)
  • 투고 : 2004.04.21
  • 심사 : 2004.09.13
  • 발행 : 2004.09.01

초록

저자들은 만성적이고 반복적인 복통을 호소하는 13세 여아에서 호산구성 위장관염 1례를 경험하여 보고하는 바이다.

Eosinophilic gastroenteritis is a rare condition of unknown etiology characterized by peripheral eosinophilia, eosinophilic infiltration of the gastrointestinal tract, and gastrointestinal symptoms. Eosinophilic gastroenteritis is generally classified according to the Klain classification: predominant mucosal, muscular, and subserosal disease. Mucosal involvement may result in abdominal pain, nausea, vomiting, diarrhea, weight loss, anemia, protein-losing enteropathy, and intestinal perforation. Patients with muscular layer disease generally have obstructive symptoms. Subserosal eosinophilic infiltration may result in development of eosinophilic ascites. Most commonly, the stomach, duodenum, and small bowel are involved. A 13-year-old girl came to our hospital presenting with chronic, intermittent abdominal pain. She showed peripheral eosinophilia and biopsy specimen of the duodenum revealed eosinophilic infiltration of the mucosal layer. We here report a case of eosinophilic gastroenteritis.

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