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19 March 2023 : Case report  Indonesia

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 Juffrie3EF

DOI: 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.

PhenotypesCase 1Case 2Reference values
Age25 y.o27 y.o
GenderFemaleFemale
RaceIndonesianIndonesian
ManifestationMild-moderateModerate-sever
Abdominal pain dominantAbdominal discomfort dominant
Asthma++
Rhinitis+
Dermatitis
Familial++
AeroallergenDust miteDust mite
Food allergyChicken, Shrimp, Soy, Wheat, Milk, banana, QuillCrab, Soy, Chocolate, Yolk Egg, Quill
TreatmentMethyl prednisone 4 mg q.dDesloratadine 5 mg q.dLansoprazole 30 mg q.dDesloratadine 5 mg q.dLansoprazole 30 mg q.d
Eosinophil serum2%Total eosinophils: 351%Total eosinophils: 490–3%
ESR5100–20 mm/hour
IgE total387845<87 IU/mL
Ana IF(+) 1: 100NegativeNegative
Ana profileDsf70 (+3)NegativeNegative
ESR – erythrocyte sedimentation rate.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923