A Case of Eosinophilic Esophagitis Associated with Herpes Esophagitis in a Pediatric Patient
Clinical Endoscopy
; : 606-611, 2019.
Article
en En
| WPRIM
| ID: wpr-785663
Biblioteca responsable:
WPRO
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.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Úlcera
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Biopsia
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Dolor en el Pecho
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Aciclovir
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Trastornos de Deglución
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Reacción en Cadena de la Polimerasa
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Incidencia
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Estudios de Seguimiento
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Bombas de Protones
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Simplexvirus
Tipo de estudio:
Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Child
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Humans
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Male
Idioma:
En
Revista:
Clinical Endoscopy
Año:
2019
Tipo del documento:
Article