19 March 2023 : Case report
Abdominal Pain Due to Eosinophilic Gastroenteritis Diagnosed in 25-Year-Old and 27-Year-Old Sisters with a Family History of Asthma
Challenging differential diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care, Rare disease, Clinical situation which can not be reproduced for ethical reasons
Deshinta Putri Mulya1ABCDEFG*, Nuklear Adiwena1ABCDEFG, Neneng Ratnasari2EF, Muhammad Juffrie3EFDOI: 10.12659/AJCR.938232
Am J Case Rep 2023; 24:e938232
Table 1. Allergic phenotype and clinical manifestation from a 25-year-old woman and 27-year-old woman.
Phenotypes | Case 1 | Case 2 | Reference values |
---|---|---|---|
Age | 25 y.o | 27 y.o | |
Gender | Female | Female | |
Race | Indonesian | Indonesian | |
Manifestation | Mild-moderate | Moderate-sever | |
Abdominal pain dominant | Abdominal discomfort dominant | ||
Asthma | + | + | |
Rhinitis | + | – | |
Dermatitis | – | – | |
Familial | + | + | |
Aeroallergen | Dust mite | Dust mite | |
Food allergy | Chicken, Shrimp, Soy, Wheat, Milk, banana, Quill | Crab, Soy, Chocolate, Yolk Egg, Quill | |
Treatment | Methyl prednisone 4 mg q.dDesloratadine 5 mg q.dLansoprazole 30 mg q.d | Desloratadine 5 mg q.dLansoprazole 30 mg q.d | |
Eosinophil serum | 2%Total eosinophils: 35 | 1%Total eosinophils: 49 | 0–3% |
ESR | 5 | 10 | 0–20 mm/hour |
IgE total | 387 | 845 | <87 IU/mL |
Ana IF | (+) 1: 100 | Negative | Negative |
Ana profile | Dsf70 (+3) | Negative | Negative |
ESR – erythrocyte sedimentation rate. |