Gastroenterology

Gastroenterology

Volume 149, Issue 4, October 2015, Pages e10-e11
Gastroenterology

Electronic Clinical Challenges and Images in GI
An Unusual Cause of Small Intestinal Ulcers

https://doi.org/10.1053/j.gastro.2015.02.018Get rights and content

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Answer to Image 5: Eosinophilic Granulomatosis With Polyangiitis (Churg–Strauss Syndrome)

Painful numbness of the extremities was considered to be caused by mononeuropathy multiplex. Laboratory tests showed hypereosinophilia (white blood cell count, 18,960/μL; eosinophils, 50.3%) and elevated levels of serum immunoglobulin E and C-reactive protein (1347 IU/mL and 37.5 mg/L, respectively). Serologic test for anti-myeloperoxidase antineutrophil cytoplasm antibodies was negative. Colonoscopy revealed no abnormalities except for mild erythema of the rectum. Pathologic examination of the

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Conflicts of interest The authors disclose no conflicts.

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