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KMID : 0359020120450040444
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Korean Journal of Gastrointestinal Endoscopy
2012 Volume.45 No. 4 p.444 ~ p.447
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A Hypereosinophilic Syndrome Presenting as Eosinophilic Colitis
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Jeon Young-Woo
Hong Su-Jin
Kim Hwa-Jong
Han Jae-Pil
Kim Hee-Kyung
Ko Bong-Min
Park Sung-Kyu
Lee Moon-Sung
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Abstract
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Hypereosinophilic syndrome (HES) has three defining features: marked hypereosinophilia for at least 6 months, no confirmed etiology for the eosinophilia, and eosinophilia-related symptoms or organ dysfunction. However, a shorter period of hypereosinophilia with symptoms requiring eosinophil-lowering therapy is also acceptable. We report a case of HES presenting as eosinophilic colitis. Although hypereosinophilia was present for 3 months, this patient needed to be treated with eosionphil-lowering therapy for severe hematochezia. After systemic corticosteroid therapy, symptoms caused by organ involvement were dramatically improved.
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KEYWORD
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Hypereosinophilic syndrome, Colon, Steroids
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