EOSINOPHILIC GASTRODUODENITIS SHOWING NODULAR LESIONS IN THE GASTRIC ANTRUM AND DUODENAL BULB

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Abstract

A 32-year-old female was admitted to Osaka National Hospital for remarkable anemia. She had a history of food allergy for the past 6 years. Laboratory examinations revealed remarkable iron deficiency anemia and protein-losing gastroenteropathy. On upper gastrointestinal endoscopy, multiple nodular lesions resembling verrucous gastritis were observed in the gastric antrum and the duodenal bulb. Marked mucosal eosinophilic infiltration was seen in the biopsy specimens. Small intestine and colon were normal by X-ray examination and colonoscopy, respectively. She was diagnosed as eosinophilic gastritis. Her symptoms, laboratory data and endoscopic findings improved by regulation of food intake and administration of steroid. Rare endoscopic appearance of eosinophilic gastritis probably has strong correlation with food allergy.

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