A Case of Eosinophilic Esophagitis Associated with Herpes Esophagitis in a Pediatric Patient
Clinical Endoscopy
;
: 606-611, 2019.
Article
in English
| WPRIM
| ID: wpr-785663
ABSTRACT
Eosinophilic esophagitis is a rare disease in Asian countries, but its incidence is growing rapidly in Western countries. The main pathophysiology of eosinophilic esophagitis is esophageal epithelial barrier dysfunction; disruption of the esophageal epithelial barrier easily induces antigen sensitization to foods and aeroallergens, which leads to subsequent esophageal inflammation as a result of eosinophil recruitment. Here we report a case of an 11-year-old Korean boy who suffered from fever, odynophagia, dysphagia, and chest pain. His upper endoscopic findings showed longitudinal ulcers with a volcano-like appearance at the distal esophagus. Polymerase chain reaction test results and biopsy specimens were positive for herpes simplex virus type 1. He was treated with acyclovir and a proton pump inhibitor, but his follow-up endoscopy showed typical patterns of eosinophilic esophagitis, and the biopsy specimens were compatible with the diagnostic criteria for eosinophilic esophagitis. Therefore, we report a very rare case of eosinophilic esophagitis after herpes esophagitis in a Korean child with normal immunity.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ulcer
/
Biopsy
/
Chest Pain
/
Acyclovir
/
Deglutition Disorders
/
Polymerase Chain Reaction
/
Incidence
/
Follow-Up Studies
/
Proton Pumps
/
Simplexvirus
Type of study:
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Child
/
Humans
/
Male
Language:
English
Journal:
Clinical Endoscopy
Year:
2019
Type:
Article
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