ABSTRACT
INTRODUCTION: Eosinophilic gastroenteritis is an unusual disease characterized by an eosinophilic infiltration of the gastrointestinal tract. The esophageal location of this disorder is uncommon and is usually revealed by dysphagia. Diagnosis is obtained by histology during endoscopy after exclusion of differential diagnosis. Treatment is based on systemic corticosteroids, which improve dramatically symptoms and endoscopic lesions. CASE REPORT: We report an 88-year-old man who presented eosinophilic gastroenteritis with esophageal injury complicated by gastrointestinal haemorrhage and fistule. CONCLUSION: Eosinophilic gastroenteritis may have a potentially unfavourable outcome. The treatment of complicated forms is not codified and often empirical.
Subject(s)
Enteritis/complications , Eosinophilia/complications , Gastritis/complications , Aged, 80 and over , Diagnosis, Differential , Enteritis/diagnosis , Enteritis/drug therapy , Eosinophilia/diagnosis , Eosinophilia/drug therapy , Esophageal Fistula/complications , Esophageal Fistula/diagnosis , Esophageal Fistula/surgery , Gastritis/diagnosis , Gastritis/drug therapy , Gastroscopy , Humans , Male , Prednisone/therapeutic useSubject(s)
Edema/diagnosis , Face/pathology , Superior Vena Cava Syndrome/diagnosis , Aged, 80 and over , Edema/etiology , Edema/pathology , Humans , Male , Radiography, Thoracic , Skin Diseases/diagnosis , Skin Diseases/etiology , Skin Diseases/pathology , Superior Vena Cava Syndrome/complications , Superior Vena Cava Syndrome/pathologyABSTRACT
Systemic amyloidosis usually does not spare the digestive tract but its involvement is rarely symptomatic. The clinical manifestations are not specific. We report a 64-year-old patient, presenting with a weight loss related to an AL amyloidosis. The amyloidosis was apparently limited to the digestive tract. We discuss the various presentations of the digestive amyloidosis and we insist on the seriousness of this localization.