A rare cause of chronic dysphagia: eosinophilic esophagitis†.

Abstract

Eosinophilic esophagitis (EE) is attributable to environmental factors, allergens and several immunological causes. The most typical symptoms include dysphagia and sensation of food impingement in the retrosternal area. Although its clinical features resemble those of gastroesophageal reflux, proton pump inhibitors are not effective for its treatment. The diagnosis of EE is dependent on the pathological detection of eosinophilic infiltration in esophageal mucosa. In this study, we evaluated a patient who applied to our clinic with complaints of long-term difficulty in swallowing, sensation of food sticking while eating and weight loss; the patient was diagnosed with EE, following biochemical, radiological, endoscopic and pathological assessments and was treated with steroids. The results show that EE should be considered in the differential diagnosis of patients with dysphagia and food impingement in the retrosternal area, and the diagnosis should be confirmed through multiple esophageal biopsies.

• Authors: Sebahattin Destek, Vahit Onur Gul, Serkan Ahioglu, Zeynep Tatar, Yesim Erbil
• Journal: Journal of surgical case reports (J Surg Case Rep) Vol. 2014 Issue 9 (Sep 23 2014) ISSN: 2042-8812 [Print] England
• PMID: 25249002 (Publication Type: Case Reports)
• Copyright: Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2014.