A Case of Eosinophilic Colitis

Lee, Sang Moon; Kim, In Ki; Kim, Dae Hyun; Suh, Hwa Ryoung; Baek, Hyo Jong; Lee, Choong Ki; Kim, Hak Geum; Lee, Dong Hwan

Abstract

Eosinophilic gastroenteritis is uncommon and characterized by infiltration of gut wall with eosinophiis, peripheral blood eosirephilia, abnormal symptoms or signs following ingestion of specific foods. The pathogenesis of this disease is not clearly understood, but several studies support allergic or immunologic etiology. The typical clinical features consist of abdominal cramps, diarrhea, nausea and vomiting either as a single subacute episode or with an intermittent history for months or years. Recently we experienced a case of eosinophilic colitis with periumbilical pain and peri 1 blood eosinophilia. On barium enema examination, there was an irregular luminal narrowing in the distal ascending colon. Colonoscopic findings revealed smooth and hyperemic circumferential linear wall thickening in the distal ascending colon. These symptoms and signs were all eleared up within 3 weeks without any specific therapy.