Case report: Use of montelukast as steroid-sparing agent for recurrent eosinophilic gastroenteritis

Patients with eosinophilic gastroenteritis generally respond well to corticosteroids but relapses are common. Patients with relapsing disease are usually placed on long-term low-dose prednisone or immunosuppressive therapy. Here we repaorted on a patient with severe steriod-dependent eosinophilic gastroenteritis who was able to successfully taper off steriods and maintain remission after starting montelukast, a leukotriene receptor antagonist. To out knowledge, this is the first use montelukast as a steriod sparing agent for eosinophilic gastroenteritis.