Year 2025 / Volume 117 / Number 9
Letter
A case of exuberant endoscopic presentation of asymptomatic eosinophilic colitis

532

DOI: 10.17235/reed.2024.10577/2024

Rute Gomes, Diana Martins, Américo Silva,

Abstract
Eosinophilic colitis is a rare entity characterized by a broad range of gastrointestinal symptoms and idiopathic infiltration of eosinophils in the colon. This condition is most likely underreported due to the absence of standardized diagnostic criteria. We present the case of a 72-year-old man who underwent an outpatient colorectal cancer surveillance colonoscopy without gastrointestinal complaints. Colonoscopy revealed a diffuse micronodular pattern of the colonic mucosa, with histopathological analysis showing a polymorphic infiltrate rich in eosinophils in the lamina propria. The patient was kept under surveillance, with a repeat colonoscopy showing persistent endoscopic and histological findings consistent with eosinophilic colitis. The patient remains asymptomatic. This case is unique from both clinical and endoscopic perspectives due to the asymptomatic course of this rare condition and the illustrative iconography.
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References
1 - Pedro Cardoso, Catarina Elias, Renato Medas, Leila Cardoso, Armando Peixoto, Guilherme Macedo, Jorge Almeida; Eosinophilic Colitis, an Uncommon Cause of Diarrhea: Case Report and Literature Review. GE Port J Gastroenterol 1 November 2023; 30 (Suppl. 2): 57–61. https://doi.org/10.1159/000526853
2 - Nguyen, Tommy DO1; Goyal, Abhinav MD1; Hibbard, Christopher DO2. S1751 A Rare Presentation of Asymptomatic Eosinophilic Colitis. The American Journal of Gastroenterology 115():p S904, October 2020. | DOI: 10.14309/ajg.0000000000000864
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Gomes R, Martins D, Silva A. A case of exuberant endoscopic presentation of asymptomatic eosinophilic colitis. 10577/2024


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Publication history

Received: 02/06/2024

Accepted: 15/06/2024

Online First: 05/07/2024

Published: 15/09/2025

Article Online First time: 33 days

Article editing time: 470 days


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