Allergic Gastritis: with special references to its roentgenologic, endoscopic and histologic findings T. Kojima 1 , H. Kurauchi 2 , K. Kanazawa 3 , T. Yoshii 4 , K. Takada 5 1Kojima Medical Clinic 2Kurauchi Surgical Clinic 3Dept. of Gastroenterology, National Himeji Hospital 4Dept. of Patnology, Nippon Medical School 5Dept. of Anatomy, Nagoya City University pp.61-67
Published Date 1973/1/25
DOI https://doi.org/10.11477/mf.1403108344
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 Because of advances in their technics of examination, home doctors can now observe early stage of acute gastric diseases both by roentgenography and endoscopy. As such we have experienced 4 cases diagnosed as acute allergic gastritis.

 Case 1: ― a 23-year-old man, sufftering from epigastralgia and diarrhoea shortly after eating raw mackerel. Two days later x-ray revealed a transient, soft filling defect suspected to be due to marked swelling of the mucosa and to spasm in the antrum. Seven days later, the mucosa showed almost normal x-ray findings.

 Case 2: ― a 28-year-old man, having eaten “sushi” with raw mackerel at night. Next morning he had epigastralgia with subsequent vomiting. X-ray picture taken three days later showed edematous swelling of the folds and a transient, soft filling defect. Biopsy disclosed only mild edema in the superficial zone of the lamina propria with no inflammatory cell infiltration.

 Case 3: ― a 38-year -old man, complaining of epigastralgia shortly after eating raw sardine pickled with vinegar. Next morning x-ray revealed transient filling defect in the lesser curvature of the antrum. Gastrofiberscopy two days later demonstrated edema spread from the corpus to the antrum along the lesser curvature. Biopsy carried out at that time showed degeneration of mucosal cells, mild edema and marked eosinophilic infiltration in the laimina propria.

 Case 4: ― a 65-year-old woman, suffering from epigastralgia and vomiting after eating meuniére of sardine. X-ray examination done four days later showed hypersecretion, swollen mucosal folds, transient filling defects from the corpus to antrum together with an irregular niche in the antrum on the posterior wall. Five days later, gastroscopy revealed typical hemorrhagic erosions at the angle and in the antrum. They disappeared when seen ten days later, leaving an irregular-shaped ulcer in their wake, covered with white coat. However, biopsy done at that time exhibited still remaining hemorrhagic erosions as well as acute shallow ulcerations.

 In general, allergic gastritis most often occurs after eating fish and/or shellfish. While roentgenography would demonstrates transient, soft filling defect, endoscopy would occasionally reveal hemorrhagic erosion. Its histologic findings include changes in the lamina propria and submucosa such as edema, degeneration of mucosal cells, inflammatory cellular, especially eosinophilic, infiltration, at times with hemorrhagic erosion and acute shallow ulceration.

Copyright © 1973, Igaku-Shoin Ltd. All rights reserved.


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