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Case Report

Acute Eosinophilic Appendicitis after Generalized Skin Reaction Due to Unknown Cause in a Child: Case Report and Literature Review

1
Department of Pediatric Surgery, Democritus University of Thrace, University Hospital of Alexandroupolis, Dragana, Alexandroupolis, Greece
2
Department of Pathology, Democritus University of Thrace, University Hospital of Alexandroupolis, Dragana, Alexandroupolis, Greece
3
Department of Pediatrics, Democritus University of Thrace, University Hospital of Alexandroupolis, Dragana, Alexandroupolis, Greece
4
Department of Radiology, Democritus University of Thrace, University Hospital of Alexandroupolis, Dragana, Alexandroupolis, Greece
*
Author to whom correspondence should be addressed.
Clin. Pract. 2019, 9(3), 1177; https://doi.org/10.4081/cp.2019.1177
Submission received: 3 June 2019 / Revised: 29 August 2019 / Accepted: 30 August 2019 / Published: 16 September 2019

Abstract

Acute eosinophilic appendicitis (AEA) is a rare variant of appendix inflammation possibly linked to allergy. Histopathological evidence of eosinophilic infiltration of the muscularis propria and edema separating the muscle fibers is the gold standard for the diagnosis. Here, we report a case of a young boy with AEA following a skin reaction of possible allergic origin. A 6-year-old male was presented to the emergency department with a two-day diffuse abdominal pain and tenderness in the right lower quadrant. A possible allergic reaction had occurred five days before as a pruritic rash. There was no history of allergy and the stool examination was negative for parasites. The initial diagnosis was acute appendicitis, and appendectomy was performed. The histopathological diagnosis was AEA. Further studies on the proper diagnostic and treatment approach of AEA before surgery are required.
Keywords: acute eosinophilic appendicitis; allergy; children acute eosinophilic appendicitis; allergy; children

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MDPI and ACS Style

Aggelidou, M.; Kambouri, K.; Kouroupi, M.; Cassimos, D.; Foutzitzi, S.; Deftereos, S. Acute Eosinophilic Appendicitis after Generalized Skin Reaction Due to Unknown Cause in a Child: Case Report and Literature Review. Clin. Pract. 2019, 9, 1177. https://doi.org/10.4081/cp.2019.1177

AMA Style

Aggelidou M, Kambouri K, Kouroupi M, Cassimos D, Foutzitzi S, Deftereos S. Acute Eosinophilic Appendicitis after Generalized Skin Reaction Due to Unknown Cause in a Child: Case Report and Literature Review. Clinics and Practice. 2019; 9(3):1177. https://doi.org/10.4081/cp.2019.1177

Chicago/Turabian Style

Aggelidou, Maria, Katerina Kambouri, Maria Kouroupi, Dimitrios Cassimos, Soultana Foutzitzi, and Savas Deftereos. 2019. "Acute Eosinophilic Appendicitis after Generalized Skin Reaction Due to Unknown Cause in a Child: Case Report and Literature Review" Clinics and Practice 9, no. 3: 1177. https://doi.org/10.4081/cp.2019.1177

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