BMJ Case Reports
Suspected menopause nutraceutical-induced eosinophilic ascites: a rare clinical presentation
A middle-aged woman presented with a 2-month history of ascites without associated symptoms. She reported taking no regular medication, except for a menopause supplement for the preceding 4 months. Initial blood investigation revealed marked peripheral eosinophilia (49%) but was otherwise unremarkable. Analysis of the ascitic fluid demonstrated a predominance of eosinophils (90%) with no evidence of malignancy. Abdominal ultrasonography identified liver lesions; however, malignancy was excluded by CT. Gastroscopy f …