Eosinophilic Gastroenteritis in an Ulcerative Colitis Patient During Treatment with Tumor Necrosis Factor-alpha Antagonist
A 45-year-old man with steroid-dependent ulcerative pancolitis was hospitalized with frequent diarrhea, abdominal pain and distension 3 months after induction of golimumab, a tumor necrosis factor-alpha antagonist. Computed tomography showed wall thickening from the stomach to the colon and massive...
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| Veröffentlicht in: | Internal Medicine 2020/08/15, Vol.59(16), pp.1977-1981 |
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| container_end_page | 1981 |
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| container_issue | 16 |
| container_start_page | 1977 |
| container_title | Internal Medicine |
| container_volume | 59 |
| creator | Hayashida, Sho Sato, Shunsuke Shimada, Yuji Tsuzura, Hironori Ikeda, Yuji Takahashi, Sho Sato, Sho Amano, Nozomi Murata, Ayato Nagahara, Akihito Genda, Takuya |
| description | A 45-year-old man with steroid-dependent ulcerative pancolitis was hospitalized with frequent diarrhea, abdominal pain and distension 3 months after induction of golimumab, a tumor necrosis factor-alpha antagonist. Computed tomography showed wall thickening from the stomach to the colon and massive ascites. Peripheral blood test revealed eosinophilia. A large number of eosinophils were observed in the ascites fluid. Although esophagogastroduodenoscopy showed no abnormal findings and colonoscopy showed ulcerative colitis with a Mayo endoscopic subscore of 1, eosinophil infiltration was histologically observed. Based on these findings, we diagnosed him with eosinophilic gastroenteritis and started prednisolone. Consequently, his eosinophil counts and abdominal symptoms dramatically improved. |
| doi_str_mv | 10.2169/internalmedicine.4554-20 |
| format | Article |
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Computed tomography showed wall thickening from the stomach to the colon and massive ascites. Peripheral blood test revealed eosinophilia. A large number of eosinophils were observed in the ascites fluid. Although esophagogastroduodenoscopy showed no abnormal findings and colonoscopy showed ulcerative colitis with a Mayo endoscopic subscore of 1, eosinophil infiltration was histologically observed. Based on these findings, we diagnosed him with eosinophilic gastroenteritis and started prednisolone. Consequently, his eosinophil counts and abdominal symptoms dramatically improved.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.4554-20</identifier><identifier>PMID: 32801271</identifier><language>eng</language><publisher>TOKYO: The Japanese Society of Internal Medicine</publisher><subject>Antibodies, Monoclonal - adverse effects ; Ascites ; Ascites - chemically induced ; Ascites - diagnostic imaging ; Case Report ; Colitis, Ulcerative - drug therapy ; Colon ; Colonoscopy ; Computed tomography ; Diarrhea ; Distension ; Endoscopy, Digestive System ; Enteritis - chemically induced ; Enteritis - diagnostic imaging ; Enteritis - drug therapy ; Enteritis - pathology ; Eosinophilia ; Eosinophilia - chemically induced ; Eosinophilia - diagnosis ; Eosinophilia - diagnostic imaging ; Eosinophilia - drug therapy ; Eosinophilia - pathology ; eosinophilic gastroenteritis ; Eosinophils - pathology ; Esophagus - pathology ; Gastritis - chemically induced ; Gastritis - diagnostic imaging ; Gastritis - drug therapy ; Gastritis - pathology ; Gastroenteritis ; General & Internal Medicine ; Glucocorticoids - therapeutic use ; Humans ; Ileum - pathology ; Inflammatory bowel disease ; Internal medicine ; Leukocytes (eosinophilic) ; Life Sciences & Biomedicine ; Male ; Medicine, General & Internal ; Metastases ; Middle Aged ; Peripheral blood ; Prednisolone ; Prednisolone - therapeutic use ; Rectum - pathology ; Science & Technology ; Stomach - pathology ; Tomography, X-Ray Computed ; Tumor Necrosis Factor Inhibitors - adverse effects ; tumor necrosis factor-alpha antagonist ; Tumor necrosis factor-TNF ; Tumor necrosis factor-α ; Ulcerative colitis</subject><ispartof>Internal Medicine, 2020/08/15, Vol.59(16), pp.1977-1981</ispartof><rights>2020 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2020</rights><rights>Copyright © 2020 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>5</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000563078400007</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c610t-8bb450d3ee55bb0f0bd2597a3277d3b946357403bc6f6dbde4ccf56a7943a9ee3</citedby><cites>FETCH-LOGICAL-c610t-8bb450d3ee55bb0f0bd2597a3277d3b946357403bc6f6dbde4ccf56a7943a9ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7492116/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7492116/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,1884,27929,27930,28253,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32801271$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hayashida, Sho</creatorcontrib><creatorcontrib>Sato, Shunsuke</creatorcontrib><creatorcontrib>Shimada, Yuji</creatorcontrib><creatorcontrib>Tsuzura, Hironori</creatorcontrib><creatorcontrib>Ikeda, Yuji</creatorcontrib><creatorcontrib>Takahashi, Sho</creatorcontrib><creatorcontrib>Sato, Sho</creatorcontrib><creatorcontrib>Amano, Nozomi</creatorcontrib><creatorcontrib>Murata, Ayato</creatorcontrib><creatorcontrib>Nagahara, Akihito</creatorcontrib><creatorcontrib>Genda, Takuya</creatorcontrib><title>Eosinophilic Gastroenteritis in an Ulcerative Colitis Patient During Treatment with Tumor Necrosis Factor-alpha Antagonist</title><title>Internal Medicine</title><addtitle>INTERNAL MED</addtitle><addtitle>Intern. Med.</addtitle><description>A 45-year-old man with steroid-dependent ulcerative pancolitis was hospitalized with frequent diarrhea, abdominal pain and distension 3 months after induction of golimumab, a tumor necrosis factor-alpha antagonist. Computed tomography showed wall thickening from the stomach to the colon and massive ascites. Peripheral blood test revealed eosinophilia. A large number of eosinophils were observed in the ascites fluid. Although esophagogastroduodenoscopy showed no abnormal findings and colonoscopy showed ulcerative colitis with a Mayo endoscopic subscore of 1, eosinophil infiltration was histologically observed. Based on these findings, we diagnosed him with eosinophilic gastroenteritis and started prednisolone. Consequently, his eosinophil counts and abdominal symptoms dramatically improved.</description><subject>Antibodies, Monoclonal - adverse effects</subject><subject>Ascites</subject><subject>Ascites - chemically induced</subject><subject>Ascites - diagnostic imaging</subject><subject>Case Report</subject><subject>Colitis, Ulcerative - drug therapy</subject><subject>Colon</subject><subject>Colonoscopy</subject><subject>Computed tomography</subject><subject>Diarrhea</subject><subject>Distension</subject><subject>Endoscopy, Digestive System</subject><subject>Enteritis - chemically induced</subject><subject>Enteritis - diagnostic imaging</subject><subject>Enteritis - drug therapy</subject><subject>Enteritis - pathology</subject><subject>Eosinophilia</subject><subject>Eosinophilia - chemically induced</subject><subject>Eosinophilia - diagnosis</subject><subject>Eosinophilia - diagnostic imaging</subject><subject>Eosinophilia - drug therapy</subject><subject>Eosinophilia - pathology</subject><subject>eosinophilic gastroenteritis</subject><subject>Eosinophils - pathology</subject><subject>Esophagus - pathology</subject><subject>Gastritis - chemically induced</subject><subject>Gastritis - diagnostic imaging</subject><subject>Gastritis - drug therapy</subject><subject>Gastritis - pathology</subject><subject>Gastroenteritis</subject><subject>General & Internal Medicine</subject><subject>Glucocorticoids - therapeutic use</subject><subject>Humans</subject><subject>Ileum - pathology</subject><subject>Inflammatory bowel disease</subject><subject>Internal medicine</subject><subject>Leukocytes (eosinophilic)</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Medicine, General & Internal</subject><subject>Metastases</subject><subject>Middle Aged</subject><subject>Peripheral blood</subject><subject>Prednisolone</subject><subject>Prednisolone - therapeutic use</subject><subject>Rectum - pathology</subject><subject>Science & Technology</subject><subject>Stomach - pathology</subject><subject>Tomography, X-Ray Computed</subject><subject>Tumor Necrosis Factor Inhibitors - adverse effects</subject><subject>tumor necrosis factor-alpha antagonist</subject><subject>Tumor necrosis factor-TNF</subject><subject>Tumor necrosis factor-α</subject><subject>Ulcerative colitis</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>EIF</sourceid><recordid>eNqNkctuEzEUhi0EoiHwCsgSSzTF1_F4g1SFtiBVlEW6tjweT8bRxA62pxU8PR4SUi4bNr6d7_w-5_wAQIzOCa7lO-ezjV6PO9s547w9Z5yziqAnYIEpk5UglD8FCyRxU5GynIEXKW0Roo2Q5Dk4o6RBmAi8AN8vQ3I-7Ac3OgOvdcox2FndZZeg81B7eDcaG3V29xauwvgz8KVcCwY_TNH5DVxHq_NufnhweYDraRci_GxNLOIJXmmTQ6z0uB80vPBZb4J3Kb8Ez3o9JvvquC_B3dXlevWxurm9_rS6uKlMjVGumrZlHHXUWs7bFvWo7QiXQlMiREdbyWrKBUO0NXVfd21nmTE9r7WQjGppLV2C9wfd_dSWgZlSZtSj2ke30_GbCtqpPyPeDWoT7pVgkmBcF4E3R4EYvk42ZbUN0zz-pAijkhFEsShUc6DmrlO0_ekHjNTsmvrbNTW7pkr2Erz-vcJT4i-bHrUfbBv6ZMrsjT1hCCFeUyQaVk5IrFwu7gS_CpPPJfXt_6cW-vZAb1Ox6ZHTMTsz2n9b4FLhel6PvZxIM-iorKc_AGii2v0</recordid><startdate>20200815</startdate><enddate>20200815</enddate><creator>Hayashida, Sho</creator><creator>Sato, Shunsuke</creator><creator>Shimada, Yuji</creator><creator>Tsuzura, Hironori</creator><creator>Ikeda, Yuji</creator><creator>Takahashi, Sho</creator><creator>Sato, Sho</creator><creator>Amano, Nozomi</creator><creator>Murata, Ayato</creator><creator>Nagahara, Akihito</creator><creator>Genda, Takuya</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Soc Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>5PM</scope></search><sort><creationdate>20200815</creationdate><title>Eosinophilic Gastroenteritis in an Ulcerative Colitis Patient During Treatment with Tumor Necrosis Factor-alpha Antagonist</title><author>Hayashida, Sho ; Sato, Shunsuke ; Shimada, Yuji ; Tsuzura, Hironori ; Ikeda, Yuji ; Takahashi, Sho ; Sato, Sho ; Amano, Nozomi ; Murata, Ayato ; Nagahara, Akihito ; Genda, Takuya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c610t-8bb450d3ee55bb0f0bd2597a3277d3b946357403bc6f6dbde4ccf56a7943a9ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Antibodies, Monoclonal - adverse effects</topic><topic>Ascites</topic><topic>Ascites - chemically induced</topic><topic>Ascites - diagnostic imaging</topic><topic>Case Report</topic><topic>Colitis, Ulcerative - drug therapy</topic><topic>Colon</topic><topic>Colonoscopy</topic><topic>Computed tomography</topic><topic>Diarrhea</topic><topic>Distension</topic><topic>Endoscopy, Digestive System</topic><topic>Enteritis - chemically induced</topic><topic>Enteritis - diagnostic imaging</topic><topic>Enteritis - drug therapy</topic><topic>Enteritis - pathology</topic><topic>Eosinophilia</topic><topic>Eosinophilia - chemically induced</topic><topic>Eosinophilia - diagnosis</topic><topic>Eosinophilia - diagnostic imaging</topic><topic>Eosinophilia - drug therapy</topic><topic>Eosinophilia - pathology</topic><topic>eosinophilic gastroenteritis</topic><topic>Eosinophils - pathology</topic><topic>Esophagus - pathology</topic><topic>Gastritis - chemically induced</topic><topic>Gastritis - diagnostic imaging</topic><topic>Gastritis - drug therapy</topic><topic>Gastritis - pathology</topic><topic>Gastroenteritis</topic><topic>General & Internal Medicine</topic><topic>Glucocorticoids - therapeutic use</topic><topic>Humans</topic><topic>Ileum - pathology</topic><topic>Inflammatory bowel disease</topic><topic>Internal medicine</topic><topic>Leukocytes (eosinophilic)</topic><topic>Life Sciences & Biomedicine</topic><topic>Male</topic><topic>Medicine, General & Internal</topic><topic>Metastases</topic><topic>Middle Aged</topic><topic>Peripheral blood</topic><topic>Prednisolone</topic><topic>Prednisolone - therapeutic use</topic><topic>Rectum - pathology</topic><topic>Science & Technology</topic><topic>Stomach - pathology</topic><topic>Tomography, X-Ray Computed</topic><topic>Tumor Necrosis Factor Inhibitors - adverse effects</topic><topic>tumor necrosis factor-alpha antagonist</topic><topic>Tumor necrosis factor-TNF</topic><topic>Tumor necrosis factor-α</topic><topic>Ulcerative colitis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hayashida, Sho</creatorcontrib><creatorcontrib>Sato, Shunsuke</creatorcontrib><creatorcontrib>Shimada, Yuji</creatorcontrib><creatorcontrib>Tsuzura, Hironori</creatorcontrib><creatorcontrib>Ikeda, Yuji</creatorcontrib><creatorcontrib>Takahashi, Sho</creatorcontrib><creatorcontrib>Sato, Sho</creatorcontrib><creatorcontrib>Amano, Nozomi</creatorcontrib><creatorcontrib>Murata, Ayato</creatorcontrib><creatorcontrib>Nagahara, Akihito</creatorcontrib><creatorcontrib>Genda, Takuya</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hayashida, Sho</au><au>Sato, Shunsuke</au><au>Shimada, Yuji</au><au>Tsuzura, Hironori</au><au>Ikeda, Yuji</au><au>Takahashi, Sho</au><au>Sato, Sho</au><au>Amano, Nozomi</au><au>Murata, Ayato</au><au>Nagahara, Akihito</au><au>Genda, Takuya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eosinophilic Gastroenteritis in an Ulcerative Colitis Patient During Treatment with Tumor Necrosis Factor-alpha Antagonist</atitle><jtitle>Internal Medicine</jtitle><stitle>INTERNAL MED</stitle><addtitle>Intern. Med.</addtitle><date>2020-08-15</date><risdate>2020</risdate><volume>59</volume><issue>16</issue><spage>1977</spage><epage>1981</epage><pages>1977-1981</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 45-year-old man with steroid-dependent ulcerative pancolitis was hospitalized with frequent diarrhea, abdominal pain and distension 3 months after induction of golimumab, a tumor necrosis factor-alpha antagonist. Computed tomography showed wall thickening from the stomach to the colon and massive ascites. Peripheral blood test revealed eosinophilia. A large number of eosinophils were observed in the ascites fluid. Although esophagogastroduodenoscopy showed no abnormal findings and colonoscopy showed ulcerative colitis with a Mayo endoscopic subscore of 1, eosinophil infiltration was histologically observed. Based on these findings, we diagnosed him with eosinophilic gastroenteritis and started prednisolone. Consequently, his eosinophil counts and abdominal symptoms dramatically improved.</abstract><cop>TOKYO</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>32801271</pmid><doi>10.2169/internalmedicine.4554-20</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Antibodies, Monoclonal - adverse effects Ascites Ascites - chemically induced Ascites - diagnostic imaging Case Report Colitis, Ulcerative - drug therapy Colon Colonoscopy Computed tomography Diarrhea Distension Endoscopy, Digestive System Enteritis - chemically induced Enteritis - diagnostic imaging Enteritis - drug therapy Enteritis - pathology Eosinophilia Eosinophilia - chemically induced Eosinophilia - diagnosis Eosinophilia - diagnostic imaging Eosinophilia - drug therapy Eosinophilia - pathology eosinophilic gastroenteritis Eosinophils - pathology Esophagus - pathology Gastritis - chemically induced Gastritis - diagnostic imaging Gastritis - drug therapy Gastritis - pathology Gastroenteritis General & Internal Medicine Glucocorticoids - therapeutic use Humans Ileum - pathology Inflammatory bowel disease Internal medicine Leukocytes (eosinophilic) Life Sciences & Biomedicine Male Medicine, General & Internal Metastases Middle Aged Peripheral blood Prednisolone Prednisolone - therapeutic use Rectum - pathology Science & Technology Stomach - pathology Tomography, X-Ray Computed Tumor Necrosis Factor Inhibitors - adverse effects tumor necrosis factor-alpha antagonist Tumor necrosis factor-TNF Tumor necrosis factor-α Ulcerative colitis |
| title | Eosinophilic Gastroenteritis in an Ulcerative Colitis Patient During Treatment with Tumor Necrosis Factor-alpha Antagonist |
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