Eosinophilic pancolitis in an elderly patient
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2024.196663Keywords:
Gastroenterology, Colitis, Eosinophilia, Elderly, Atopy, DiarrheaAbstract
Eosinophilic colitis is a rare and severe form of eosinophilic gastrointestinal disease. This study presents the case of a 69-year-old woman from Anadia, Alagoas, Brazil, who experienced intermittent abdominal pain in the right and left iliac fossae, along with recurrent eructations, flatus, increased bowel movements, diarrhea, and loss of appetite for approximately six months. The diagnosis of eosinophilic colitis was confirmed through upper digestive endoscopy, colonoscopy, and histopathology, which revealed eosinophilic pancolitis with about 100 eosinophils per high-power field in most tissue fragments. After three months of a restricted diet and treatment with ketotifen 1 mg (twice daily for 30 days) and esomeprazole 40 mg (once daily on an empty stomach for 56 days), the patient showed clinical improvement. This case highlights the diagnostic challenges of eosinophilic colitis due to its non-specific clinical signs and emphasizes the necessity of supplementary examinations.
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Copyright (c) 2024 Claudio José dos Santos Júnior, Agatha Prado de Lima, Jussara Cirilo Leite Torres, Thiago José Matos Rocha, Paulo Victor Muniz Azevedo, José Nobre Pires, Thales Simões Nobre Pires, Celina Maria Costa Lacet
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