Eosinophilic Esophagitis in a 75-Year-Old Saudi Man: A Case Report

Abstract

The incidence and prevalence of eosinophilic esophagitis (EoE) are increasing in adults and children worldwide. Once thought primarily to affect children and young adults, EoE is now recognized in all age groups. To our knowledge, this case study is the first known report of EoE diagnosed in an elderly man in Saudi Arabia. The 75-year-old patient presented with a chief complaint of dry mouth and mild heartburn symptoms. Further history inquiry disclosed that he experienced dysphagia occasionally. His endoscopy findings revealed signs associated with EoE, which was confirmed by biopsy showing marked infiltration of eosinophils (>30/hpf) in upper and lower esophagus. Following treatment with dexlansoprazole for eight weeks, the patient reported no further symptoms, and he remained in remission three months thereafter. Elderly patients with EoE may display atypical signs and symptoms and rarely have concomitant allergy; EoE should be considered in older patients especially those with dysphagia.

Abordagens terapêuticas da esofagite eosinofílica: revisão integrativa de literatura

“…Os resultados acerca do uso dos imunobiológicos ainda são oscilantes e inconsistentes, sendo assim, necessitam de maior avaliação e estudos complementares. Pode ser necessária apenas uma sessão ou repetidas sessões a fim de abolir os sintomas graves de disfagia (ALKHOWAITER, 2023). O procedimento é seguro e realizado através da EDA com balões hidrostáticos ou bougies guiados por um fio guia.…”