RESUMO

Eosinophilic Gastroentertis (EG) is a very rare disease, characterized by focal or difuse eosinophilic infiltration of the gastrointestinal tract. The clinical presentation is variable and depends on the histological and the extension layer involved. We report a case of eosinophilic gastroenteritis whose main presentation was ascites with peripheral eosinophilia and chronic intermittent diarrhea in a patient with a history of atopy. Upper endoscopy showed severe multifocal erythematous gastritis, the ascitic fluid showed elevated WBC with eosinophilia, with a SAAG (Serum albumin ascites gradient) of less 1.1. The patient was treated with corticoesteroids with remission of clinical manifestation.

Assuntos

Ascite/etiologia , Enterite/complicações , Eosinofilia/complicações , Gastrite/complicações , Adulto , Anti-Inflamatórios/uso terapêutico , Diarreia/etiologia , Enterite/sangue , Enterite/diagnóstico , Enterite/tratamento farmacológico , Enterite/patologia , Eosinofilia/sangue , Eosinofilia/diagnóstico , Eosinofilia/tratamento farmacológico , Eosinofilia/etiologia , Eosinofilia/patologia , Feminino , Gastrite/sangue , Gastrite/diagnóstico , Gastrite/tratamento farmacológico , Gastrite/patologia , Humanos , Prednisona/uso terapêutico