Eosinophilic Enteritis with Ascites in a Patient with Overlap Syndrome

Gastrointestinal involvement is frequent in patients with systemic lupus erythematosus (SLE). Eosinophilic gastroenteritis, however, has only rarely been described in rheumatological conditions, despite its reported connection to autoimmune diseases, such as hypereosinophilic syndrome, vasculitides,...

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Main Authors: Spyros Aslanidis, Athina Pyrpasopoulou, Kostas Soufleris, Eirini Kazantzidou, Stella Douma
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2009/734206
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author Spyros Aslanidis
Athina Pyrpasopoulou
Kostas Soufleris
Eirini Kazantzidou
Stella Douma
author_facet Spyros Aslanidis
Athina Pyrpasopoulou
Kostas Soufleris
Eirini Kazantzidou
Stella Douma
author_sort Spyros Aslanidis
collection DOAJ
description Gastrointestinal involvement is frequent in patients with systemic lupus erythematosus (SLE). Eosinophilic gastroenteritis, however, has only rarely been described in rheumatological conditions, despite its reported connection to autoimmune diseases, such as hypereosinophilic syndrome, vasculitides, and systemic mastoidosis. It presents typically with abdominal pain and diarrhea and is only exceptionally associated with ascites. Diagnosis can be problematic, as several other clinical conditions (malignancies, infection/tuberculosis, and inflammatory bowel diseases) have to be ruled out. It is basically a nonsurgical disease, with excellent recovery on conservative treatment. We report the rare case of a young woman with overlap syndrome who presented with abdominal pain and ascites. The diagnosis of eosinophilic enteritis was made based on clinical, radiological, and laboratory criteria. The patient was treated with corticosteroids with excellent response.
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publisher Wiley
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series Case Reports in Medicine
spelling doaj-art-176efa2061e245b9b08ab004efbc6c382025-02-03T05:58:12ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/734206734206Eosinophilic Enteritis with Ascites in a Patient with Overlap SyndromeSpyros Aslanidis0Athina Pyrpasopoulou1Kostas Soufleris2Eirini Kazantzidou3Stella Douma42nd Propedeutic Department of Internal Medicine, Hippokration General Hospital, 54643 Thessaloniki, Greece2nd Propedeutic Department of Internal Medicine, Hippokration General Hospital, 54643 Thessaloniki, Greece2nd Propedeutic Department of Internal Medicine, Hippokration General Hospital, 54643 Thessaloniki, GreeceRadiology Department, Hippokration General Hospital, 54643 Thessaloniki, Greece2nd Propedeutic Department of Internal Medicine, Hippokration General Hospital, 54643 Thessaloniki, GreeceGastrointestinal involvement is frequent in patients with systemic lupus erythematosus (SLE). Eosinophilic gastroenteritis, however, has only rarely been described in rheumatological conditions, despite its reported connection to autoimmune diseases, such as hypereosinophilic syndrome, vasculitides, and systemic mastoidosis. It presents typically with abdominal pain and diarrhea and is only exceptionally associated with ascites. Diagnosis can be problematic, as several other clinical conditions (malignancies, infection/tuberculosis, and inflammatory bowel diseases) have to be ruled out. It is basically a nonsurgical disease, with excellent recovery on conservative treatment. We report the rare case of a young woman with overlap syndrome who presented with abdominal pain and ascites. The diagnosis of eosinophilic enteritis was made based on clinical, radiological, and laboratory criteria. The patient was treated with corticosteroids with excellent response.http://dx.doi.org/10.1155/2009/734206
spellingShingle Spyros Aslanidis
Athina Pyrpasopoulou
Kostas Soufleris
Eirini Kazantzidou
Stella Douma
Eosinophilic Enteritis with Ascites in a Patient with Overlap Syndrome
Case Reports in Medicine
title Eosinophilic Enteritis with Ascites in a Patient with Overlap Syndrome
title_full Eosinophilic Enteritis with Ascites in a Patient with Overlap Syndrome
title_fullStr Eosinophilic Enteritis with Ascites in a Patient with Overlap Syndrome
title_full_unstemmed Eosinophilic Enteritis with Ascites in a Patient with Overlap Syndrome
title_short Eosinophilic Enteritis with Ascites in a Patient with Overlap Syndrome
title_sort eosinophilic enteritis with ascites in a patient with overlap syndrome
url http://dx.doi.org/10.1155/2009/734206
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AT kostassoufleris eosinophilicenteritiswithascitesinapatientwithoverlapsyndrome
AT eirinikazantzidou eosinophilicenteritiswithascitesinapatientwithoverlapsyndrome
AT stelladouma eosinophilicenteritiswithascitesinapatientwithoverlapsyndrome