<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942019000400568</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colitis eosinofílica]]></article-title>
<article-title xml:lang="en"><![CDATA[Eosinophilic colitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Esquijarosa Roque]]></surname>
<given-names><![CDATA[Bárbara María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guillén Cánovas]]></surname>
<given-names><![CDATA[Ana Mercedes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Ramirez]]></surname>
<given-names><![CDATA[Emilio Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Echevarría Martínez]]></surname>
<given-names><![CDATA[Luis Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rico Esquijarosa]]></surname>
<given-names><![CDATA[Lázaro Osmani]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Ciencias Médicas de Pinar del Río Hospital Pediátrico Provincial Docente Pepe Portilla ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Ciencias Médicas de Pinar del Río Hospital General Docente Abel Santamaría Cuadrado ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Ciencias Médicas de Pinar del Río Facultad de Ciencias Médicas Ernesto Guevara de la Serna ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>4</numero>
<fpage>568</fpage>
<lpage>577</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942019000400568&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942019000400568&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942019000400568&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la colitis eosinofílica es un trastorno gastrointestinal caracterizado por un infiltrado inflamatorio en colon y recto, con predominio de eosinófilos, su clínica se manifiesta en dependencia de la capa del epitelio intestinal afectada, la afectación exclusiva del colon es excepcional, se muestra con obstrucción intestinal y es una enfermedad de difícil diagnóstico, donde el estudio histológico es concluyente. Se presenta de uno a 20 habitantes por cada 100 000, la etiología es poco clara, se ha determinado que hay un componente genético y alérgico importante. Los corticoesteroides son el tratamiento de primera elección.  Presentación del caso:  paciente de 12 años de edad, ingresa por dolor y distensión abdominal, evolucionó con signos clínicos y radiológicos de un íleo mecánico con empeoramiento progresivo, por lo que se decidió laparotomía exploradora y toma de biopsia de colon. Se le diagnosticó colitis eosinofílica, se le trató con corticoesteroides. Mostró una evolución satisfactoria a las 72 horas, con regresión del cuadro clínico.  Conclusión: es una patología rara y poco estudiada que, de forma menos frecuente, afecta la capa muscular en forma de obstrucción intestinal, por lo que se debe tener en cuenta como diagnóstico diferencial de abdomen agudo en los pacientes pediátricos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  eosinophilic colitis is a gastrointestinal disorder characterized by an inflammatory infiltration in the colon and rectum, with predominance of eosinophils, its clinical manifestation depends on the affected intestinal epithelium layer, the exclusive affectation of the colon is exceptional, intestinal obstruction is the most evident manifestation and it is a disease of complex diagnosis, where the histological study is conclusive. It is present from 1 to 20 inhabitants per 100.000, its etiology is imprecise, it has been determined that there is an important genetic and allergic component. Corticosteroids are the treatment of first choice.  Case report:  a 12-year-old patient, presented abdominal pain, distension and was admitted, evolved with clinical and radiological signs of a mechanical ileus with progressive worsening, it was decided an exploratory laparotomy and colon biopsy. The patient was diagnosed with eosinophilic colitis and treated with corticosteroids, showing a satisfactory progression at 72 hours, with regression of the clinical chart.  Conclusion:  it is rare and little study pathology, not frequently found, it affects the muscular layer as a type of intestinal obstruction, this should be taken into account as a differential diagnosis of acute abdomen in pediatric patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[PEDIATRÍA.COLITIS]]></kwd>
<kwd lng="es"><![CDATA[OBSTRUCCIÓN INTESTINAL]]></kwd>
<kwd lng="es"><![CDATA[EOSINOFILIA, DIARREA]]></kwd>
<kwd lng="en"><![CDATA[PEDIATRICS]]></kwd>
<kwd lng="en"><![CDATA[COLITIS]]></kwd>
<kwd lng="en"><![CDATA[INTESTINAL IBSTRUCTION]]></kwd>
<kwd lng="en"><![CDATA[EOSINOPHILIA]]></kwd>
<kwd lng="en"><![CDATA[DIARRHEA]]></kwd>
</kwd-group>
</article-meta>
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