{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T23:18:41Z","timestamp":1788304721735,"version":"build-2803163510"},"reference-count":23,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,1,19]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>A 54-year-old Chinese man presented with ascites for 2 weeks. He had a preceding 2-year history of intermittent dysphagia, lethargy and general malaise. Blood investigations revealed leucocytosis with eosinophilia of 26.5%, whereas paracentesis showed turbid fluid with high protein content (45\u2009g\/L) and a high white blood cell count of 5580\/\u00b5L, predominantly eosinophils (90%). An incidental assay of vitamin D showed a very low level of 13.5\u2009ng\/mL. No other cause of ascites was found. Gastroscopy was normal except for duodenitis. However, biopsies from lower oesophagus confirmed the presence of eosinophilic infiltration. Following vitamin D replacement, the patient experienced marked improvement in symptoms of dysphagia within 2 weeks and no recurrence of ascites after 3 months. The reason for the patient\u2019s vitamin D deficiency remains unclear. The marked improvement in the patient\u2019s health indicates a causative role of vitamin D deficiency in causing eosinophilic esophagogastroenteritis and associated eosinophilic ascites.<\/jats:p>","DOI":"10.1136\/bcr-2020-240039","type":"journal-article","created":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T00:14:35Z","timestamp":1612484075000},"page":"e240039","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Vitamin D deficiency causing eosinophilic esophagogastroenteritis and ascites: a rare association"],"prefix":"10.1136","volume":"14","author":[{"given":"Choon-Seng","family":"Qua","sequence":"first","affiliation":[{"name":"Gastroenterology, Mahkota Medical Centre, Melaka, Melaka, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaik-Boo","family":"Peh","sequence":"additional","affiliation":[{"name":"Pathology, Mahkota Medical Centre, Melaka, 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