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Korean J Gastrointest Endosc > Volume 42(6); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(6): 361-365.
A Case of Eosinophilic Gastroenteritis presenting with Fever and Multiple Lymphadenopathy
Borami Kang, M.D., Woo Chul Chung, M.D., Kang-Moon Lee, M.D., Chang Nyol Paik, M.D., Ji Min Lee, M.D., Hyo Sin Jeon, M.D.*, Kyong-Hwa Jun, M.D.* and Hyung Min Chin, M.D.*
Department of Internal Medicine, Catholic University of Korea College of Medicine, Seoul, Korea, *Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Eosinophilic gastroenteritis is an unusual disease that is associated with various clinical gastrointestinal manifestations. and its severity depends on the area involved as well as the wall layer involved. Eosinophilic gastroenteritis often causes abdominal pain, nausea, vomiting and diarrhea. To date, there has been an extremely rare case of eosinophilic gastroenteritis with systemic symptoms, such as fever or lymphadenopathy (LAP). We experienced a case of a 68-year-old-woman with fever and abdominal pain. Abdominal computed tomography revealed diffuse wall thickening of the gastric antrum as linitis plastica. Multiple hot uptakes of lymph nodes were visualized on fludeoxyglucose-positron emission tomography. The gastric biopsy pathological report demonstrated eosinophilic infiltration without malignant cells. We could not exclude malignancy and performed an exploratory laparoscopy. A lymph node specimen showed reactive hyperplasia, and her illness was finally diagnosed as eosinophilic gastroenteritis. Herein, we report the case with a brief review.
Key Words: Eosinophilic gastroenteritis, Fever, Lymphadenopathy
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