Hypereosinophilic syndrome presenting as eosinophilic gastroenteritis disorder and splinter hemorrhages: A case report

doi:10.4292/wjgpt.v13.i2.23

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World Journal of Gastrointestinal Pharmacology and Therapeutics

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Case Report

World J Gastrointest Pharmacol Ther. Mar 5, 2022; 13(2): 23-29
Published online Mar 5, 2022. doi: 10.4292/wjgpt.v13.i2.23

Hypereosinophilic syndrome presenting as eosinophilic gastroenteritis disorder and splinter hemorrhages: A case report

Ankith Bhasi, Itish Patnaik, Prasan Kumar Panda, Ashok Singh

Ankith Bhasi, Prasan Kumar Panda, Department of Internal Medicine, All India Institute of Medical Sciences, Rishikesh 249203, Uttarakhand, India

Itish Patnaik, Department of Gastroenterology, All India Institute of Medical Sciences, Rishikesh 249203, India

Ashok Singh, Department of Pathology, All India Institute of Medical Sciences, Rishikesh 249203, India

Author contributions: Bhasi A collected all data; Bhasi A, Panda PK and Singh A wrote the manuscript; Bhasi A, Patnaik I and Singh A contributed to the analysis; Bhasi A, Patnaik I, Panda PK, and Singh A contributed to approval; Patnaik I collected endoscopy data, reviewed the manuscript; Panda PK collected data, critically reviewed; Singh A collected pathology data.

Informed consent statement: The patient gave informed consent to share his clinical images and details including laboratory reports.

Conflict-of-interest statement: The authors declare that they have no conflict of interest.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Corresponding author: Prasan Kumar Panda, MBBS, MD, Associate Professor, Department of Internal Medicine, All India Institute of Medical Sciences, Rishikesh 249203, Uttarakhand, India. motherprasanna@rediffmail.com

Received: August 2, 2021
Peer-review started: August 2, 2021
First decision: October 15, 2021
Revised: October 31, 2021
Accepted: January 22, 2022
Article in press: January 22, 2022
Published online: March 5, 2022
Processing time: 211 Days and 8.4 Hours

Core Tip

Core Tip: This case reveals the wide spectrum of atypical manifestations of hypereosinophilic syndrome. Clinicians must be vigilant in order to diagnose primary instead of secondary eosinophilia as the former can cause diffuse organ infiltration and widespread tissue damage. Eosinophilic gastrointestinal disorder can present with involvement of all three layers of the gastrointestinal tract. Hypereosinophilic syndrome can also present with splinter hemorrhages. Prompt management of this lethal infiltrative disease provides a cure and avoids organ complications.