A case of allergic bronchopulmonary mycosis with eosinophilic gastroenteritis
Hideto Oshita Misato Ogata Asami Inoue Yuka Sano Koji Yoshioka Yasuhiko Ikegami
Department of Respiratory Medicine, Federation of National Public Service and Affiliated Personnel Mutual Aid Associations, Yoshijima Hospital
A 54-year-old woman whose allergic bronchopulmonary mycosis (ABPM) was in remission developed epigastric pain and was revealed to have a giant ulcerative lesion in the stomach. The gastric ulcer recurred despite Helicobacter pylori eradication therapy and discontinuation of the non-steroidal anti-inflammatory drug. The biopsy tissue of the gastric mucosa showed a high degree of eosinophil infiltration, and she was diagnosed with eosinophilic gastroenteritis. Later, she had a recurrence of ABPM and needed administration of steroids. In the medical treatment of allergic respiratory disease, attention should be paid to complications caused by allergic diseases in other organs. If abdominal symptoms are observed, the possibility of eosinophilic gastrointestinal diseases should be considered.
Allergic bronchopulmonary mycosis (ABPM) Eosinophilic gastrointestinal diseases (EGIDs) Eosinophilic gastroenteritis (EGE) Gastric ulcer
Received 4 Apr 2022 / Accepted 25 May 2022
AJRS, 11(5): 275-279, 2022