EOSINOPHILIC ESOPHAGITIS: CASE REPORT AND LITERATURE REVIEW

• DOI: https://doi.org/10.22533/at.ed.1594562414069

• Palavras-chave: eosinophilic esophagitis, dysphagia, food impaction, treatment.

• Keywords: eosinophilic esophagitis, dysphagia, food impaction, treatment.

• Abstract:

  Eosinophilic esophagitis (EoE) is characterized by eosinophil infiltration in the esophageal mucosa, which can cause remodeling of the organ. This work aims to report a case of eosinophilic esophagitis and its evolution with treatment and changes in eating habits, following the ethics guidelines in research being assessed by the CEP/CONEP system, with opinion number 5,176,348. This is a case study of a male individual, complaining of chest pain caused by oppression and impaction of solid food, without a personal history of atopy, who was diagnosed with eosinophilic esophagitis through upper digestive endoscopy and biopsy. After seven months of treatment, his condition regressed and subsequently abandoned treatment. Eosinophilic esophagitis is a disease associated with immunoallergic pathogenesis. In adults, symptoms include dysphagia, retrosternal heartburn and food impaction due to reduced organ lumen in an advanced inflammatory process in the esophagus. The diagnosis is made by upper digestive endoscopy and histopathological analysis, with visualization of more than 15 eosinophils per field. Therapy improves quality of life and reduces the risk of eosinophilic infiltration of the esophageal mucosa.