Eosinophilic Esophagitis and Food Allergy: Is There an Established Relationship? Clinical Case

Introduction: Eosinophilic esophagitis (EE) is an entity characterized by esophageal symptoms with the presence of dense eosinophilia, in the absence of reflux disease excluded by pHmetry or lack of response to treatment with proton pump inhibitor. Various guidelines try to establish diagnostic criteria. Clinical Case: Teenager, 14 years old. A history of low birth weight from 19 months (p5) and asthma since age of 3. Started symptoms of intermittent dysphagia, being placed reflux disease hypothesis, he did prolonged treatment with PPI with no success. The patient was referred to the Digestive Pathology enquiry, because of persistence of complaints, now with dysphagia for solids and impact feeding episodes. In HDE the progression of the endoscope was not possible by the existence of stenosis, in a mucosa with traqueiform rings. A biopsy confirmed the diagnosis. Were performed allergens tests with positivity for food and inhalant allergens (hazelnut, wheat). Started fluticasone with slight improvement. Later, started eviction of food he had allergy, showing clinical improvement, which resulted in weight gain. Conclusion: The pathogenesis of EE is related to atopy. The goal of treatment is to improve the quality of life of the patient. As illustrated by this case, the control of the disease with a dietary component led to greater clinical improvement.