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- $Unique_ID{BRK03765}
- $Pretitle{}
- $Title{Gastroenteritis, Eosinophilic}
- $Subject{Gastroenteritis Eosinophilic EG Pattern I Eosinophilic
- Gastroenteritis Pattern II Eosinophilic Gastroenteritis Pattern III
- Eosinophilic Gastroenteritis Whipple's Disease Celiac Sprue Tropical Sprue
- Mastocytosis Crohn's Disease}
- $Volume{}
- $Log{}
-
- Copyright (C) 1989 National Organization for Rare Disorders, Inc.
-
- 733:
- Gastroenteritis, Eosinophilic
-
- ** IMPORTANT **
- It is possible that the main title of the article (Eosinophilic
- Gastroenteritis) is not the name you expected. Please check the SYNONYM
- listing to find the alternate names and disorder subdivisions covered by this
- article.
-
- Synonyms
-
- EG
-
- Disorder Subdivisions
-
- Pattern I Eosinophilic Gastroenteritis
- Pattern II Eosinophilic Gastroenteritis
- Pattern III Eosinophilic Gastroenteritis
-
- Information on the following diseases can be found in the Related
- Disorders section of this report:
-
- Whipple's Disease
- Celiac Sprue
- Tropical Sprue
- Mastocytosis
- Crohn's Disease
-
- General Discussion
-
- ** REMINDER **
- The information contained in the Rare Disease Database is provided for
- educational purposes only. It should not be used for diagnostic or treatment
- purposes. If you wish to obtain more information about this disorder, please
- contact your personal physician and/or the agencies listed in the "Resources"
- section of this report.
-
- Eosinophilic Gastroenteritis is a rare digestive disease characterized by
- an abnormal infiltration of certain white blood cells (eosinophils) in the
- lining of the stomach, small intestines and/or large intestine.
-
- Symptoms
-
- Eosinophilic Gastroenteritis is a rare digestive disease characterized by a
- distinct infiltration of certain white blood cells (eosinophils) into the
- lining of the stomach, small intestines and/or large intestine. This
- disorder is classified into three separate clinical patterns.
-
- Pattern I Eosinophilic Gastroenteritis has extensive infiltration of
- eosinophils in the area below the mucous membrane (submucosa) and muscle
- wall. It is more commonly seen in the stomach (gastric antrum) but may also
- affect the small intestine or colon. Symptoms of this form of the disease
- may include nausea, vomiting and abdominal pain. It may cause an obstruction
- and can be diagnosed by barium X-Ray studies.
-
- Pattern II Eosinophilic Gastroenteritis is characterized by eosinophil
- infiltration of the mucous and submucosal membranes. In children it usually
- affects the lining of the stomach, while in adults it tends to affect the
- small intestine. It is characterized by diarrhea, abdominal and/or back
- pain, swelling (edema) and mild to moderate inadequate absorption of
- nutrients (malabsorption).
-
- Pattern III is the rarest type of Eosinophilic Gastroenteritis. It is
- usually seen in the subserosal and serosal membranes of the stomach and is
- characterized by an accumulation of fluid in the abdomen (ascites). This
- fluid contains many of these specific white cells (eosinophils) and can
- infiltrate the serous membrane of the lungs (pleural effusion). Symptoms of
- this form of the disease may include chest pain, fever, shortness of breath
- and limited motion of the chest wall.
-
- Causes
-
- The exact cause of Eosinophilic Gastroenteritis is unknown. Some cases of
- this disease may be caused by a hypersensitivity to certain foods or other
- unknown allergens.
-
- Affected Population
-
- Eosinophilic Gastroenteritis is a very rare disease that affects males and
- females in equal numbers. People with a history of allergies, eczema, and
- seasonal asthma are more likely to develop this disease.
-
- Related Disorders
-
- Symptoms of the following disorders can be similar to those of Eosinophilic
- Gastroenteritis. Comparisons may be useful for a differential diagnosis:
-
- Whipple's Disease is an uncommon digestive disorder of unknown origin.
- This disease affects the lining of the small intestine resulting in
- malabsorption. The disorder may also affect other organs of the body such as
- the heart, lung, brain, joints, eye and gastrointestinal tract. (For more
- information on this disorder, choose "Whipple" as your search term in the
- Rare Disease Database).
-
- Celiac Sprue is a chronic, hereditary, intestinal malabsorption disorder
- caused by an intolerance to gluten. The illness is characterized by a flat
- jejunal (part of the intestine) mucosa. Clinical and/or histologic
- improvement of symptoms follow withdrawal of dietary gluten. (For more
- information on this disorder, choose "Celiac" as your search term in the Rare
- Disease Database).
-
- Mastocytosis is a genetic disorder characterized by abnormal
- accumulations of specific cells (mast cells) normally found in connective
- tissue. The liver, spleen, lungs, bone, skin and sometimes the membrane
- surrounding the brain and spine (meninges) may be affected. Cases beginning
- during adulthood tend to involve the inner organs more than the skin, whereas
- during childhood, the condition is often marked by skin manifestations with
- minimal organ involvement. (For more information on this disorder, choose
- "Mastocytosis" as your search term in the Rare Disease Database).
-
- Tropical Sprue is characterized by malabsorption, multiple nutritional
- deficiencies, and abnormalities in the small bowel mucosa. The exact cause of
- Tropical Sprue is unknown. It appears to be acquired and related to
- environmental and nutritional conditions. It is most prevalent in the
- Caribbean, South India and Southeast Asia. (For more information on this
- disorder, choose "Tropical Sprue" as your search term in the Rare Disease
- Database.)
-
- Crohn's Disease, also known as ileitis, regional enteritis, or
- granulomatous colitis, is a form of inflammatory bowel disease characterized
- by severe, often granulomatous, chronic inflammation of the wall of the
- gastrointestinal tract. In most cases, the ileum and is affected. Crohn's
- disease can be difficult to manage, but mortality due to the disease itself
- or to complications from the disease is low. (For more information on this
- disorder, choose "Crohn's" as your search term in the Rare Disease Database.)
-
- Therapies: Standard
-
- The corticosteroid drug prednisone is usually an effective treatment for
- Eosinophilic Gastroenteritis. Eliminating foods that one is allergic to may
- prove helpful in some cases of this disease. Surgery may be necessary in
- severe cases where there is an obstruction of the intestines. Other
- treatment is symptomatic and supportive.
-
- Therapies: Investigational
-
- At the present time, a study is being conducted on the effectiveness of the
- membrane stabilizing drug sodium chromoglycate. More research must be
- conducted to determine long-term safety and effectiveness of this drug.
-
- This disease entry is based upon medical information available through
- January 1990. Since NORD's resources are limited, it is not possible to keep
- every entry in the Rare Disease Database completely current and accurate.
- Please check with the agencies listed in the Resources section for the most
- current information about this disorder.
-
- Resources
-
- For more information on Eosinophilic Gastroenteritis, please contact:
-
- National Organization for Rare Disorders (NORD)
- P.O. Box 8923
- New Fairfield, CT 06812-1783
- (203) 746-6518
-
- National Digestive Diseases Clearinghouse
- Box NDIC
- Bethesda, MD 20892
- (301) 468-2162
-
- References
-
- INTERNAL MEDICINE, 2nd ed.: Jay H. Stein, ed.-in chief; Little Brown and
- Co., 1987. Pp. 136.
-
- PULMONARY DISEASES AND DISORDERS, Volume 3, 2nd Ed.: Alfred P. Fishman
- M.D., ed.-in-chief; McGraw -Hill Book Co., 1980. Pp. 2123.
-
- NEAR FATAL EOSINOPHILIC GASTROENTERITIS RESPONDING TO ORAL SODIUM
- CHROMOGLYATE. R. Moots, et al.; GUT (September 1988, issue 29 (9)). Pp.
- 1282-185.
-
- EOSINOPHILIC GASTROENTERITIS; ULTRASTRUCTURAL EVIDENCE FOR A SELECTIVE
- RELEASE OF EOSINOPHIL MAJOR BASIC PROTEIN. G. Torpier, et al.; CLIN EXP
- IMMUNOL (December 1988, issue 74 (3)). Pp. 404-408.
-
- EOSINOPHILIC GASTROENTERITIS PRESENTING WITH BILIARY AND DUODENAL
- OBSTRUCTION. M. Rumans, et al.; AM GASTROENTEROL (August 1987, issue 82
- (8)). Pp. 775-778.
-
-