Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Eosinophil-Associated Gastrointestinal Disorders with Asthma: Immunohistochemical Analyses
Toshihiro ShiraiAkira KomiyamaHiroshi HayakawaDai HashimotoTakafumi SudaKingo Chida
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JOURNAL OPEN ACCESS

2009 Volume 48 Issue 15 Pages 1315-1321

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Abstract

We report 5 patients with eosinophil-associated gastrointestinal disorders (EGIDs) and asthma. All patients developed EGIDs while asthma remained clinically stable. Asthma severity was moderate persistent and severe persistent and 2 patients had intolerance to nonsteroidal anti-inflammatory drugs. By immunohistochemical analysis of the mucosa, eosinophils, macrophages, and T cells were found to be the major infiltrating cells. There was a lesser degree of infiltration of mast cells and B cells but no neutrophils. Compared with normal controls, increased counts of eosinophils and CD8+ T cells were found in the duodenum, and eosinophils, macrophages, and CD4+ T cells in the colon.

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© 2009 by The Japanese Society of Internal Medicine
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