CASE REPORT

A case report of eosinophilic colitis in an elder

Chieng Jin Yu , Abdul Hanif Khan Yusof Khan, Lee Bang Rom

Chieng Jin Yu
Medical Department, Faculty of Medicine and Health Sciences, Putra University of Malaysia (UPM). Email: cjy511@yahoo.com

Abdul Hanif Khan Yusof Khan
Medical Department, Faculty of Medicine and Health Sciences, Putra University of Malaysia (UPM)

Lee Bang Rom
Pathology Department, Faculty of Medicine and Health Sciences, Putra University of Malaysia (UPM)
Online First: December 01, 2018 | Cite this Article
Yu, C., Khan, A., Rom, L. 2018. A case report of eosinophilic colitis in an elder. Bali Medical Journal 7(3). DOI:10.15562/bmj.v7i3.1139


Primary eosinophilic gastrointestinal disease (EGID) is a spectrum of disease characterized by eosinophilic infiltration along gastrointestinal tract without other causes of eosinophilia, with Eosinophilic colitis (EC) as the rarest form.

Case:

We reported a rare case of Eosinophilic colitis, where a 69-year-old gentleman presented to us with chronic diarrhea associated with mild abdominal pain for 6 months. He had significant eosinophilia 9.0%, with the colonic biopsy reported as mildly distorted glands with markedly increased eosinophils (>40/high-power field) in the lamina propria. Otherwise, his allergic skin testing was normal. His diarrhea was resolved with a course of steroid, with repeated blood test showing improving eosinophilia of 4.5%.

Conclusion:

EC is rarely reported. However, this could be underdiagnosed. All chronic diarrhea cases should be offered colonoscopy with biopsy to rule out Eosinophilic Colitis. 

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