Eosinophilic gastritis often presents with gastrointestinal symptoms in the absence of abnormal endoscopic findings. On the other hand, endoscopic changes due to eosinophilic infiltration in an asymptomatic patient are rare. A 29-year-old woman with a history of asthma on steroid inhalers presented for an annual medical checkup. Esophagogastroduodenoscopy revealed diffuse white granular patches in the body of the stomach, suggestive of eosinophilic gastritis. Histology showed over 100 eosinophils per high-power field, also consistent with eosinophilic gastritis. As the absence of symptoms precluded the diagnosis of eosinophilic gastritis, the patient was diagnosed with asymptomatic eosinophilic infiltration of the stomach.
Case Rep Gastroenterol 2021;15:652–656

中文翻译：

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无症状的嗜酸性粒细胞浸润，内镜和组织学发现与嗜酸性粒细胞性胃炎一致

嗜酸性粒细胞性胃炎常表现为胃肠道症状，内镜检查无异常。另一方面，无症状患者因嗜酸性粒细胞浸润引起的内窥镜改变很少见。一名 29 岁的女性有类固醇吸入器哮喘病史，每年进行一次体检。食管胃十二指肠镜检查显示胃体内弥漫性白色颗粒状斑块，提示嗜酸性胃炎。组织学显示每个高倍视野有超过 100 个嗜酸性粒细胞，这也符合嗜酸性粒细胞性胃炎。由于没有症状排除了嗜酸性粒细胞性胃炎的诊断，患者被诊断为胃无症状性嗜酸性粒细胞浸润。
Case Rep Gastroenterol 2021；15:652–656