Suspected menopause nutraceutical-induced eosinophilic ascites: a rare clinical presentation.
Gemma Vicens-Novell, Alejandro Alonso-Galera, Rosa Muñoz-Cano et al.
✦ AI-curated · Sources linked
Case in brief
A middle-aged woman presented with a 2-month history of ascites and marked peripheral eosinophilia (49%). Analysis of her ascitic fluid revealed 90% eosinophils, with no malignancy detected. After ruling out autoimmune and infectious causes, the ascites and eosinophilia resolved within a month following the discontinuation of a menopause supplement she had been taking for 4 months.
What made this case unusual
The case highlights eosinophilic ascites as a potential adverse effect of a menopause nutraceutical, a rare association not commonly reported.
Diagnostic / clinical pearl
Clinicians should consider dietary supplements as potential contributors to eosinophilia and related conditions, particularly in patients presenting with unexplained ascites.
Why it matters
This case underscores the importance of thorough medication histories, including supplements, in evaluating eosinophilia and ascites.