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Japanese

Eosinophilic Gastroenteritis with Ulcerative Lesion Whose Esophageal Endoscopic Findings Were Helpful for Diagnosis, Report of a Case Nozomi Miyake 1 , Shusuke Kitabatake 1 , Yasuhiro Hisanaga 1 , Seiki Kiriyama 1 , Yosuke Iwata 2 1Department of Gastroenterology, Ogaki Municipal Hospital, Ogaki, Japan 2Department of Pathology, Ogaki Municipal Hospital, Ogaki, Japan Keyword: 好酸球性胃腸炎 , 粘膜優位型 , 食道病変 , 胃潰瘍 , ステロイド pp.1081-1086
Published Date 2022/7/25
DOI https://doi.org/10.11477/mf.1403202962
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 We report a case of eosinophilic gastroenteritis with gastric ulcers and an esophageal lesion. Because of the esophageal lesion, we considered eosinophilic gastroenteritis.

 A female patient in her 30s was diagnosed with abnormalities on UGI(upper gastrointestinal series)and visited our hospital. UGI revealed a 6-cm lesion with fine irregularities from the gastric angle to the gastric body, and eosinophilia was also noted. Upper gastrointestinal endoscopy revealed a pale, slightly depressed lesion. The inside revealed cratered ulcers and an erythematous fine-granular mucosa with free margins. At first, we suspected type 4 gastric cancer ; however, we recognized the possibility of eosinophilic gastroenteritis disease due to the presence of esophageal linear furrows. Eosinophilic gastroenteritis was diagnosed by the histological findings of eosinophil infiltration on mucosal biopsy. Oral prednisolone was started at 30mg per day and tapered off, and endoscopic findings improved as a result. When atypical gastric lesions with eosinophilia are present, eosinophilic gastroenteritis should be one of the differential diagnoses.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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