Ali Erkan DUMAN, Hasan YILMAZ, Sadettin HÜLAGÜ, Burak CAN, Gökhan DİNDAR, Neslihan BOZKURT, İlhan DOLAŞIK, Mürsel SALİ, Uğur KORKMAZ, Altay ÇELEBİ, Ömer ŞENTÜRK

Serozal Tutulumlu Eozinofilik Gastroenterit ve Siklik Nötropeni

Eozinofilik gastroenterit gastrointestinal kanalın farklı alanlarının eozinofilik infiltrasyonuna bağlı olarak farklı klinik tabloların görüldüğü nedeni bilinmeyen bir hastalıktır. Eozinofilik gastroenteritin seyrinde görülen hematolojik bulgu sadece eozinofilidir. Biz eozinofilik gastroenterit ve eozinofilik asit nedeniyle değerlendirilen ve siklik nötropeni görülen bir hastayı sunduk. Her ne kadar siklik nötropeni solid organ veya hematolojik malignensileri desteklerse de steroid tedavisi ile asit, nötropeni ve periferal eozinofilide düzelme olması tablonun eozinofilik gastroenterite bağlı olduğunu doğrulamıştır. Eozinofilik gastroenteritin seyrinde siklik nötropeni görülebileceği akılda tutulmalıdır.

Anahtar Kelimeler:

eozinofilik gastroenterit, eozinofilik assit, siklik nötropeni, eozinofili, serozal tutulum

Eosinophilic Gastroenteritis With Serosal Involvement and Cyclic Neutropenia

Eosinophilic gastroenteritis is a disease of unknown etiology presenting with different clinical pictures due to eosinophilic infiltration of different areas in gastrointestinal tractus. Eosinophilia is the sole hematologic finding seen in the course of eosinophilic gastroenteritis. We presented a case evaluated for eosinophilic ascites and diagnosed as eosinophilic gastroenteritis in which cyclic neutropenia was seen. Although cyclic neutropenia suggests solid organ or hematologic malignancy no sign of malignancy on investigations, improvement in ascites, peripheral eosinophilia and neutropenia with steroid therapy confirmed that this picture was completely due to eosinophilic gastroenteritis. It should be kept in mind that cyclic neutropenia may be seen during the course of eosinophilic gastroenteritis.

Keywords:

eosinophilic gastroenteritis, eosinophilic ascites, cyclic neutropenia, eosinophilia, serosal involvement,

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