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Editor’s quiz: GI snapshot
Underdiagnosed cause of gastrointestinal bleeding
  1. Xin-Yue Ma,
  2. Yun Cui,
  3. Jing-Yuan Fang,
  4. Danfeng Sun
  1. Division of Gastroenterology and Hepatology, NHC Key Laboratory of Digestive Diseases, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
  1. Correspondence to Dr Danfeng Sun, Division of Gastroenterology and Hepatology, NHC Key Laboratory of Digestive Diseases, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China; sundanfeng{at}renji.com

https://doi.org/10.1136/gutjnl-2024-332632

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    Clinical manifestation

    A 16-year-old Chinese woman presented with a 7-year history of recurrent abdominal pain, haematemesis, melena and anaemia. Her previous oesophagogastroduodenoscopies (OGD) revealed nodular gastritis with discontinuous mucosal folds of the corpus. Gastric mucosa bleeding was described once and sclerosant injection together with titanium clip were performed. Biopsies were taken multiple times which indicated increase of eosinophils in lamina propria (up to 100/HPF). She was diagnosed eosinophilic gastritis and treated with oral prednisolone. After weaning of prednisolone, the symptoms relapsed twice. She was allergic to both penicillin and cephalosporin antibiotics, having a history of urticaria and allergic rhinitis …

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    Footnotes

    • Contributors X-YM, J-YF and DS wrote the manuscript. YC provided the histology images. DS made the clinical diagnosis. All authors critically appraised and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.