Volume 71, Issue 7 , Pages 362-364, July 2008
Eosinophilic Esophagitis in an Asymptomatic Chinese
Article Outline
Eosinophilic esophagitis is a growing problem in adults in Western countries. It is characterized by nausea, vomiting, dysphagia, food impaction, epigastralgia, heart burn and chest pain. Histologic survey is the most potent diagnostic tool. The diagnostic hallmark is the presence of more than 20 eosinophils per high-powered field on esophageal specimen and the absence of mucosal eosinophilia in the stomach. We herein report an asymptomatic Chinese male with eosinophilic esophagitis, which to the best of our knowledge is the first reported case in Asia. The unusual feature of the current case was the lack of symptoms. This case confirms that a dense infiltration of esophageal eosinophils can occur asymptomatically.
Key Words: Asia , asymptomatic , eosinophilic esophagitis
No full text is available. To read the body of this article, please view the PDF online.
References
- . Eosinophilic esophagitis attributed to gastroesophageal reflux: improvement with an amino acid-based formula . Gastroenterology . 1995;109:1503–1512
- . Eosinophilic esophagitis in adults: clinical, endoscopic, histologic findings, and response to treatment with fluticasone propionate . Gastrointest Endosc . 2006;63:3–12
- . Eosinophilic esophagitis: it's not just kid's stuff . Gastrointest Endosc . 2002;56:260–270
- . Eosinophilic esophagitis . Curr Opin Pediatr . 2004;16:560–566
- Prevalence of oesophageal eosinophils and eosinophilic oesophagitis in adults: the populationbased Kalixanda study . Gut . 2007;56:615–620
- . Gastric acid secretion in Chinese with particular reference to the dose of histamine required for maximal stimulation . Gut . 1970;11:955–961
- . Gastroesophageal reflux disease in Asian countries: disorder of nature or nurture? . J Gastroenterol Hepatol . 2006;21:1362–1365
- Anti-interleukin-5 (mepolizumab) therapy for hypereosinophilic syndromes . J Allergy Clin Immunol . 2004;113:115–119
- . Eosinophilic esophagitis: a mimic of GERD . Int J Pediatr Otorhinolaryngol . 2006;70:1147–1153
PII: S1726-4901(08)70140-0
doi:10.1016/S1726-4901(08)70140-0
© 2008 Elsevier. Published by Elsevier Inc. All rights reserved.
Volume 71, Issue 7 , Pages 362-364, July 2008
