A 37-Year-Old Female With Abdominal Pain and Diarrhea: A Case of Idiopathic Hypereosinophilic Syndrome

Ivan E. Ramirez De Oleo, Abigail Lofchie, Mateo Mejia Saldarriaga, Muhammad Pervez


We report a case of a 37-year-old female who presented with diffuse abdominal pain associated with dysphagia, weight loss, and history of chronic non-bloody diarrhea. Labs showed severe eosinophilia and esophagogastroduodenoscopy (EGD) showed patchy erythema in antrum and body of the stomach. The pathological exam showed lymphoplasmacytic inflammation of lamina propria with increased eosinophil count and eosinophilic abscesses. The immunophenotypic analysis did not show evidence of clonality. There was no evidence of allergic reaction or infection. In view of the absence of causes to explain severe eosinophilia, the diagnosis of hypereosinophilic syndrome (HES) was made and she was started on steroids with improvement in her symptoms and eosinophils counts in subsequent evaluations.

J Med Cases. 2017;8(11):335-339
doi: https://doi.org/10.14740/jmc2813w


Hypereosinophilic syndrome; Eosinophilia; Strongyloides; FIP1L1-PDGFRA; Eosinophilic gastroenteritis; Bowel thickness

Full Text: HTML PDF
Home     |     Log In     |      About     |      Search     |      Current     |      Archives     |      Submit      |     Subscribe



Aims and Scope

Current Issues

Conflict of Interest

About Publisher

Editorial Board



Company Profile

Editorial Office

Misconduct and Retraction


Company Registration

Contact Us

Abstracting and Indexing



Instructions to Authors


Declaration of Helsinki

Contact Publisher

Submission Checklist


Terms of Use

Company Address

Submit a Manuscript

Open Access Policy

Privacy Policy

Browse Journals

Publishing Fee

Publishing Policy


Recent Highlights

Peer-Review Process

Publishing Quality

Code of Ethics

Advertising Policy

Manuscript Tracking

Advanced Search

For Librarians


Publishing Process

Publication Frequency

For Reviewers

Propose a New Journal


Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.        
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.