19 March 2023: Articles
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 Mulya A* , Nuklear Adiwena A , Neneng Ratnasari E , Muhammad Juffrie EDOI: 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 | |
| Ana IF | (+) 1: 100 | Negative | Negative |
| Ana profile | Dsf70 (+3) | Negative | Negative |
| ESR – erythrocyte sedimentation rate. | |||