Eosinophilic Colitis, an Uncommon Cause of Diarrhea: Case Report and Literature Review

Abstract Eosinophilic colitis and hypereosinophilic syndrome with colic involvement are rare diagnosis that are characterized by wide-ranging gastrointestinal symptoms and idiopathic infiltration of eosinophils in the colon. The diagnostic work-up is challenging since there are no standardized criteria. We report a case of a man admitted to the hospital with a history of nonbloody chronic diarrhea. The detailed workup demonstrated blood eosinophilia, and the colonic biopsies revealed extensive eosinophilic infiltration. He was treated with steroids with clinical and analytical improvement. Due to relapsing colitis after therapy withdrawal, he was chronically medicated with 10 mg of prednisolone with ultimate symptom control. This case report describes the diagnostic workup and highlights the most important features of this often underdiagnosed entity.

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Bibliographic Details
Main Authors: Cardoso,Pedro, Elias,Catarina, Medas,Renato, Cardoso,Leila, Peixoto,Armando, Macedo,Guilherme, Almeida,Jorge
Format: Digital revista
Language:English
Published: Sociedade Portuguesa de Gastrenterologia 2023
Online Access:http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452023000800054
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