PMID- 11960068 OWN - NLM STAT- MEDLINE DCOM- 20020619 LR - 20220410 IS - 0192-0790 (Print) IS - 0192-0790 (Linking) VI - 34 IP - 5 DP - 2002 May-Jun TI - Eosinophilic gastroenteritis and gluten-sensitive enteropathy in the same patient. PG - 552-3 AB - We report the clinical and laboratory features of a 19-year-old man with findings of both eosinophilic gastroenteritis and gluten-sensitive enteropathy. Before the onset of clinical symptoms, the patient had received a series of hepatitis B vaccinations but had not developed a measurable antibody response or any allergic reaction. Radioallergosorbent test results were positive to several foods, and the total serum immunoglobulin E (IgE) level was elevated. Adherence to a gluten-free diet caused a normalization in the endomysial antibody titer; however, the total serum IgE level continued to increase, and the total eosinophil count remained elevated. Symptoms of recurrent vomiting and abdominal pain necessitated prednisone burst therapy. The simultaneous occurrence of eosinophilic gastroenteritis and gluten-sensitive enteropathy is rare; therapy should be directed to each disorder individually. FAU - Butterfield, Joseph H AU - Butterfield JH AD - Division of Allergic Diseases and Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, U.S.A. butterfield.joseph@mayo.edu FAU - Murray, Joseph A AU - Murray JA LA - eng PT - Case Reports PT - Journal Article PT - Review PL - United States TA - J Clin Gastroenterol JT - Journal of clinical gastroenterology JID - 7910017 RN - 0 (Anti-Inflammatory Agents) RN - 37341-29-0 (Immunoglobulin E) RN - VB0R961HZT (Prednisone) SB - IM MH - Adult MH - Anti-Inflammatory Agents/therapeutic use MH - Celiac Disease/*complications/diet therapy/epidemiology MH - Drug Therapy, Combination MH - Eosinophilia/*complications/drug therapy/epidemiology MH - Gastroenteritis/*complications/epidemiology/therapy MH - Humans MH - Immunoglobulin E/blood MH - Male MH - Prednisone/therapeutic use RF - 10 EDAT- 2002/04/18 10:00 MHDA- 2002/06/20 10:01 CRDT- 2002/04/18 10:00 PHST- 2002/04/18 10:00 [pubmed] PHST- 2002/06/20 10:01 [medline] PHST- 2002/04/18 10:00 [entrez] AID - 10.1097/00004836-200205000-00014 [doi] PST - ppublish SO - J Clin Gastroenterol. 2002 May-Jun;34(5):552-3. doi: 10.1097/00004836-200205000-00014.