Eosinophilic gastroenteritis is a rare disease. Due to the clinical manifestations of EGE are diverse and non-specificity, patients are often misdiagnosed and underdiagnosed. A case was admitted to Lanzhou University Second Hospital on April 6, 2020, manifested as "abdominal pain and gastrointestinal bleeding" and finally diagnosed as"eosinophilic gastroenteritis" by endoscopy combined with pathological examination. After diet management and taking the medicine of glucocorticoids and Montelukast, the child was cured without recurrence. To deepen clinicians′understanding of eosinophilic gastroenteritis, this article summarizes the process of clinical diagnosis and treatment, and reviews the latest literature, emphasizing that multi-site biopsy is of great use to diagnose eosinophilic gastroenteritis,and diet and hormones are the main therapies for eosinophilic gastroenteritis.
马汉伟;李元枭;李 艳;张 妮. 儿童嗜酸细胞性胃肠炎1例报道并文献复习[J]. 中国当代医药, 2020, 27(27): 185-187转191.
MA Han-wei LI Yuan-xiao LI Yan ZHANG Ni▲. A case report of eosinophilic gastroenteritis in children and literature review. 中国当代医药, 2020, 27(27): 185-187转191.
Mansoor E,Saleh MA,Cooper GS.Prevalence of Eosinophilic Gastroenteritis and Colitis in a Population-Based Study,From 2012 to 2017[J].Clin Gastroenterol Hepatol,2017,15(11):1733-1741.
[2]
Han XX,Guan DX,Zhou J,et al.Clinical analysis of eosinophilic gastroenteritis in 71 children[J].Zhonghua Er Ke Za Zhi,2018,56(7):500-504.
Klein NC,Hargrove RL,Sleisenger MH,et al.Eosinophilic gastroenteritis[J].Medicine(Baltimore),1970,49(4):299-319.
[5]
Yang XM,He SQ,Yang H,et al.Clinical features and treatment outcomes of eosinophilic gastroenteritis:an analysis of 28 cases[J].Acta Gastroenterol Belg,2019,82(1):5-10.
[6]
Talley NJ.Gut eosinophilia in food allergy and systemic and autoimmune diseases[J].Gastroenterol Clin North Am,2008,37(2):307-332.
[7]
Abou RA,El HW.Eosinophilic gastroenteritis:Approach to diagnosis and management[J].World J Gastrointest Pharmacol Ther,2016,7(4):513-523.
[8]
Reed C,Woosley JT,Dellon ES.Clinical characteristics,treatment outcomes,and resource utilization in children and adults with eosinophilic gastroenteritis[J].Dig Liver Dis,2015,47(3):197-201.
[9]
Mondoulet L,Kalach N,Dhelft V,et al.Treatment of gastric eosinophilia by epicutaneous immunotherapy in piglets sensitized to peanuts[J].Clin Exp Allergy,2017,47(12):1640-1647.
[10]
Pineton de Chambrun G,Dufour G,Tassy B,et al.Diagnosis,Natural History and Treatment of Eosinophilic Enteritis:a Review[J].Curr Gastroenterol Rep,2018,20(8):37.
[11]
Mishra A,Hogan SP,Lee JJ,et al.Fundamental signals that regulate eosinophil homing to the gastrointestinal tract[J].J Clin Invest,1999,103(12):1719-1727.
Friesen CA,Kearns GL,Andre L,et al.Clinical efficacy and pharmacokinetics of montelukast in dyspeptic children with duodenal eosinophilia[J].J Pediatr Gastroenterol Nutr,2004,38(3):343-351.
[17]
Tien FM,Wu JF,Jeng YM,et al.Clinical features and treatment responses of children with eosinophilic gastroenteritis[J].Pediatr Neonatol,2011,52(5):272-278.
[18]
Wan D,Liu X,Li G.The effects of montelukast on eosinophilic gastroenteritis in a mouse model[J].Immunopharmacol Immunotoxicol,2013,35(2):292-295.