DOI: 10.36347/sjmcr.2020.v08i12.012

Pages: 1032-1036

Background: Eosinophilic esophagitis is a chronic, inflammatory disease characterized clinically by symptoms related to esophageal dysfunction and histologically by a marked eosinophilic infiltrate in the esophageal mucosa. It predominantly occurs in young men with a history of atopy. Dysphagia and food impaction are the most common presentations. Case presentation: A 35-year-old man with known history of recurrent allergic rhinitis, presented with recurrent dysphagia reveling food impaction. Esophageal biopsies showed eosinophilic polynuclear exocytosis. Avoiding the responsible allergens, as well as topical corticosteroid therapy improved the patient’s symptoms. Conclusion: Eosinophilic esophagitis is still poorly understood, It is more common in young men, and there is usually a marked atopic component. It is the leading cause of dysphagia and feeding impaction in young men. Depending on the case, patients may require multidisciplinary treatment by gastroenterologists, allergists, immunologists and nutritionists.