Eosinophilic Gastroenteritis-associated Duodenal Ulcer Successfully Treated with Crushed Budesonide
Eosinophilic gastroenteritis (EGE)-associated duodenal ulcer is rare and its endoscopic and pathological features remain poorly described. A 15-year-old boy was referred to our hospital for further examination and treatment of duodenal ulcer. Esophagogastroduodenoscopy (EGD) revealed two A2-stage du...
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| Veröffentlicht in: | Internal Medicine 2020/09/15, Vol.59(18), pp.2249-2254 |
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| creator | Kubo, Kimitoshi Kimura, Noriko Mabe, Katsuhiro Matsuda, Soichiro Tsuda, Momoko Kato, Mototsugu |
| description | Eosinophilic gastroenteritis (EGE)-associated duodenal ulcer is rare and its endoscopic and pathological features remain poorly described. A 15-year-old boy was referred to our hospital for further examination and treatment of duodenal ulcer. Esophagogastroduodenoscopy (EGD) revealed two A2-stage duodenal ulcers on the duodenal bulb. A biopsy revealed marked infiltration of eosinophils, suggestive of EGE-associated duodenal ulcers. Thus, treatment with crushed budesonide (9 mg/day) was started. EGD revealed healing of the duodenal ulcers seven months after treatment. To our knowledge, this is the first report describing EGE-associated duodenal ulcer successfully treated with crushed budesonide. |
| doi_str_mv | 10.2169/internalmedicine.4706-20 |
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A 15-year-old boy was referred to our hospital for further examination and treatment of duodenal ulcer. Esophagogastroduodenoscopy (EGD) revealed two A2-stage duodenal ulcers on the duodenal bulb. A biopsy revealed marked infiltration of eosinophils, suggestive of EGE-associated duodenal ulcers. Thus, treatment with crushed budesonide (9 mg/day) was started. EGD revealed healing of the duodenal ulcers seven months after treatment. To our knowledge, this is the first report describing EGE-associated duodenal ulcer successfully treated with crushed budesonide.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.4706-20</identifier><identifier>PMID: 32536650</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Adolescent ; Anti-Inflammatory Agents - administration & dosage ; Anti-Inflammatory Agents - therapeutic use ; Biopsy ; Budesonide ; Budesonide - administration & dosage ; Budesonide - therapeutic use ; Case Report ; duodenal ulcer ; Duodenal Ulcer - drug therapy ; Duodenal Ulcer - etiology ; Duodenal Ulcer - pathology ; Duodenum - pathology ; Endoscopy, Digestive System ; Enteritis - complications ; Enteritis - pathology ; Eosinophilia - complications ; Eosinophilia - pathology ; eosinophilic gastroenteritis ; Eosinophils - pathology ; Gastritis - complications ; Gastritis - pathology ; Gastroenteritis ; Humans ; Internal medicine ; Leukocytes (eosinophilic) ; Male ; Ulcers</subject><ispartof>Internal Medicine, 2020/09/15, Vol.59(18), pp.2249-2254</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>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c610t-cd3839c17a9c308d7aa6ad33604b33d4dd3ec18312f502680f00c3140f1713293</citedby><cites>FETCH-LOGICAL-c610t-cd3839c17a9c308d7aa6ad33604b33d4dd3ec18312f502680f00c3140f1713293</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/PMC7578595/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7578595/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,1877,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32536650$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kubo, Kimitoshi</creatorcontrib><creatorcontrib>Kimura, Noriko</creatorcontrib><creatorcontrib>Mabe, Katsuhiro</creatorcontrib><creatorcontrib>Matsuda, Soichiro</creatorcontrib><creatorcontrib>Tsuda, Momoko</creatorcontrib><creatorcontrib>Kato, Mototsugu</creatorcontrib><title>Eosinophilic Gastroenteritis-associated Duodenal Ulcer Successfully Treated with Crushed Budesonide</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>Eosinophilic gastroenteritis (EGE)-associated duodenal ulcer is rare and its endoscopic and pathological features remain poorly described. A 15-year-old boy was referred to our hospital for further examination and treatment of duodenal ulcer. Esophagogastroduodenoscopy (EGD) revealed two A2-stage duodenal ulcers on the duodenal bulb. A biopsy revealed marked infiltration of eosinophils, suggestive of EGE-associated duodenal ulcers. Thus, treatment with crushed budesonide (9 mg/day) was started. EGD revealed healing of the duodenal ulcers seven months after treatment. To our knowledge, this is the first report describing EGE-associated duodenal ulcer successfully treated with crushed budesonide.</description><subject>Adolescent</subject><subject>Anti-Inflammatory Agents - administration & dosage</subject><subject>Anti-Inflammatory Agents - therapeutic use</subject><subject>Biopsy</subject><subject>Budesonide</subject><subject>Budesonide - administration & dosage</subject><subject>Budesonide - therapeutic use</subject><subject>Case Report</subject><subject>duodenal ulcer</subject><subject>Duodenal Ulcer - drug therapy</subject><subject>Duodenal Ulcer - etiology</subject><subject>Duodenal Ulcer - pathology</subject><subject>Duodenum - pathology</subject><subject>Endoscopy, Digestive System</subject><subject>Enteritis - complications</subject><subject>Enteritis - pathology</subject><subject>Eosinophilia - complications</subject><subject>Eosinophilia - pathology</subject><subject>eosinophilic gastroenteritis</subject><subject>Eosinophils - pathology</subject><subject>Gastritis - complications</subject><subject>Gastritis - pathology</subject><subject>Gastroenteritis</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Leukocytes (eosinophilic)</subject><subject>Male</subject><subject>Ulcers</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkcFu1DAQhi0EokvhFVAkLlxSbE_i2BckWNqCVKkH2rPl2pPGK2-82Amob4_TXVZQLjMa-Zt_ZvwTUjF6xplQH_w4YRpN2KLz1o941nRU1Jw-IysGjao7Du1zsqKKyZqXcEJe5byhFGSn-EtyArwFIVq6IvY8Zj_G3eCDt9WlyVOKuKj7yefa5BytNxO66sscHZaR1W2wmKrvs7WYcz-H8FDdJHxkfvlpqNZpzkMpPs8Ocxy9w9fkRW9CxjeHfEpuL85v1l_rq-vLb-tPV7UVjE61dSBBWdYZZYFK1xkjjAMQtLkDcI1zgJZJYLxvKReS9pRaYA3tWceAKzglH_e6u_mu_IwtdyQT9C75rUkPOhqv_30Z_aDv40_dtZ1sVVsE3h8EUvwxY5701meLIZgR45w1bxgopVoqCvruCbqJ82LJQjWdEoqJplByT9kUc07YH5dhVC9O6qdO6sVJzWlpffv3McfGP9YV4HoPbPJk7vEImDR5G_B_5VZpJpd4GHEk7WCSxhF-AwRXvqc</recordid><startdate>20200915</startdate><enddate>20200915</enddate><creator>Kubo, Kimitoshi</creator><creator>Kimura, Noriko</creator><creator>Mabe, Katsuhiro</creator><creator>Matsuda, Soichiro</creator><creator>Tsuda, Momoko</creator><creator>Kato, Mototsugu</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><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>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200915</creationdate><title>Eosinophilic Gastroenteritis-associated Duodenal Ulcer Successfully Treated with Crushed Budesonide</title><author>Kubo, Kimitoshi ; Kimura, Noriko ; Mabe, Katsuhiro ; Matsuda, Soichiro ; Tsuda, Momoko ; Kato, Mototsugu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c610t-cd3839c17a9c308d7aa6ad33604b33d4dd3ec18312f502680f00c3140f1713293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Anti-Inflammatory Agents - administration & dosage</topic><topic>Anti-Inflammatory Agents - therapeutic use</topic><topic>Biopsy</topic><topic>Budesonide</topic><topic>Budesonide - administration & dosage</topic><topic>Budesonide - therapeutic use</topic><topic>Case Report</topic><topic>duodenal ulcer</topic><topic>Duodenal Ulcer - drug therapy</topic><topic>Duodenal Ulcer - etiology</topic><topic>Duodenal Ulcer - pathology</topic><topic>Duodenum - pathology</topic><topic>Endoscopy, Digestive System</topic><topic>Enteritis - complications</topic><topic>Enteritis - pathology</topic><topic>Eosinophilia - complications</topic><topic>Eosinophilia - pathology</topic><topic>eosinophilic gastroenteritis</topic><topic>Eosinophils - pathology</topic><topic>Gastritis - complications</topic><topic>Gastritis - pathology</topic><topic>Gastroenteritis</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Leukocytes (eosinophilic)</topic><topic>Male</topic><topic>Ulcers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kubo, Kimitoshi</creatorcontrib><creatorcontrib>Kimura, Noriko</creatorcontrib><creatorcontrib>Mabe, Katsuhiro</creatorcontrib><creatorcontrib>Matsuda, Soichiro</creatorcontrib><creatorcontrib>Tsuda, Momoko</creatorcontrib><creatorcontrib>Kato, Mototsugu</creatorcontrib><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>MEDLINE - Academic</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>Kubo, Kimitoshi</au><au>Kimura, Noriko</au><au>Mabe, Katsuhiro</au><au>Matsuda, Soichiro</au><au>Tsuda, Momoko</au><au>Kato, Mototsugu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eosinophilic Gastroenteritis-associated Duodenal Ulcer Successfully Treated with Crushed Budesonide</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2020-09-15</date><risdate>2020</risdate><volume>59</volume><issue>18</issue><spage>2249</spage><epage>2254</epage><pages>2249-2254</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>Eosinophilic gastroenteritis (EGE)-associated duodenal ulcer is rare and its endoscopic and pathological features remain poorly described. A 15-year-old boy was referred to our hospital for further examination and treatment of duodenal ulcer. Esophagogastroduodenoscopy (EGD) revealed two A2-stage duodenal ulcers on the duodenal bulb. A biopsy revealed marked infiltration of eosinophils, suggestive of EGE-associated duodenal ulcers. Thus, treatment with crushed budesonide (9 mg/day) was started. EGD revealed healing of the duodenal ulcers seven months after treatment. To our knowledge, this is the first report describing EGE-associated duodenal ulcer successfully treated with crushed budesonide.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>32536650</pmid><doi>10.2169/internalmedicine.4706-20</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Anti-Inflammatory Agents - administration & dosage Anti-Inflammatory Agents - therapeutic use Biopsy Budesonide Budesonide - administration & dosage Budesonide - therapeutic use Case Report duodenal ulcer Duodenal Ulcer - drug therapy Duodenal Ulcer - etiology Duodenal Ulcer - pathology Duodenum - pathology Endoscopy, Digestive System Enteritis - complications Enteritis - pathology Eosinophilia - complications Eosinophilia - pathology eosinophilic gastroenteritis Eosinophils - pathology Gastritis - complications Gastritis - pathology Gastroenteritis Humans Internal medicine Leukocytes (eosinophilic) Male Ulcers |
| title | Eosinophilic Gastroenteritis-associated Duodenal Ulcer Successfully Treated with Crushed Budesonide |
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