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Eosinophilic esophagitis, gastroenteritis, and colitis in a patient with prior parasite exposure

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Abstract

Eosinophilic gastrointestinal disorders (EGID) comprise a spectrum of inflammatory diseases that can affect any segment of the gastrointestinal tract. The pathogenesis of these conditions is complex; differentiating between primary and secondary forms of these disorders can be clinically challenging. We report a case of primary EGID in a patient with remote parasite exposure, whose symptoms were initially attributed to irritable bowel syndrome. Endoscopy revealed the rare finding of EGID involving the entire gastrointestinal tract; symptoms improved with an elimination diet. This case raises the possibility of a link between prior parasite exposure and development of EGID, and underscores the necessity of exploring alternative diagnoses in patients with presumed IBS who present with severe symptoms.

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Authors and Affiliations

Authors

Contributions

RMW: manuscript writing and editing. MS: manuscript writing and editing. QH: preparation of histopathology slides and creation of histopathology images. SZ: manuscript writing and editing.

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Correspondence to Robert M. Wilechansky.

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The authors declare no conflicts of interest or sources of funding associated with this article.

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No animals were utilized in the creation of this report. No humans were harmed in the creation of this report.

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Informed patient consent was obtained for publication of the case details.

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Wilechansky, R.M., Spring, M., Huang, Q. et al. Eosinophilic esophagitis, gastroenteritis, and colitis in a patient with prior parasite exposure. Clin J Gastroenterol 12, 530–533 (2019). https://doi.org/10.1007/s12328-019-00988-6

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  • DOI: https://doi.org/10.1007/s12328-019-00988-6

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