Eosinophilic Esophagitis in the Setting of Prior Caustic Ingestion

Abstract

A seven-year-old male presented with complaints of food refusal, dysphagia, and odynophagia for three weeks. He also had a history of caustic ingestion six months prior to the presentation. Diagnostic esophagogastroduodenoscopy (EGD) revealed post-burn esophageal stricture, and biopsy confirmed eosinophilic esophagitis (EoE). In this report, we discuss the diagnosis and management of these pathologies. We suspect that the damage sustained from caustic ingestion laid the groundwork for the development of EoE in this patient.

Expression of Immunoglobulin G4 in Eosinophilic Esophagitis

“…These phenotypes are associated with different clinical presentations and treatment responses. For example, furrows are characterized by linear grooves or gaps in the esophageal mucosa and often associated with dysphagia and strictures, whereas rings are circular constrictions that can cause food impaction [12].…”