Herpetic esophagitis and eosinophilic esophagitis: A potential association

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dc.contributor.authorQuera, Rodrigo
dc.contributor.authorSassaki, Ligia Yukie [UNESP]
dc.contributor.authorNúñez, Paulina
dc.contributor.authorContreras, Luis
dc.contributor.authorBay, Constanza
dc.contributor.authorFlores, Lilian
dc.contributor.institutionClinica Universidad de los Andes
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionUniversity of Chile
dc.contributor.institutionPontifica Universidad Catòlica
dc.date.accessioned2022-04-29T08:33:20Z
dc.date.available2022-04-29T08:33:20Z
dc.date.issued2021-01-01
dc.description.abstractBackground: Gastroesophageal reflux disease, infectious esophagitis, and eosinophilic esophagitis are the most frequent causes of esophagitis, the latter 2 etiologies being generally considered independently. However, the associa-tion between both entities has been suggested through case reports in immunocompetent patients. We present the case of an immunocompetent 26-year-old man presenting with fever, adynamia, retrosternal pain, and dysphagia. Endoscopy was performed, showing whitish lesions in circular plates with erosions, and in some depressed areas in the middle and distal esophagus. Biopsies showed the presence of ulcerated foci covered by fibrinoleukocyte exudate in granulation tissue and nuclear inclusions with a viral appearance. The immunohistochemical study for herpes simplex virus (HSV) was positive. The patient was treated symptomat-ically and progressed favorably. The endoscopic control carried out at 3 months showed longitudinal grooves and trachealization, findings compatible with the diagnosis of eosinophilic esophagitis and with biopsies that confirmed the etiology by showing an increase in eosinophil count >20 per field, without isolating HSV. This clinical case confirms the possible relationship between esophagitis caused by HSV and eosinophilic esoph-agitis. Alterations at the immune level and damage to the esophageal mucosa barrier may explain this relation-ship. In this scenario, an endoscopic follow-up should be considered.en
dc.description.affiliationInflammatory Bowel Disease Program Section of Gastroenterology. Digestive Disease Center Clinica Universidad de los Andes
dc.description.affiliationDepartment of Internal Medicine São Paulo State University (UNESP) Medical School
dc.description.affiliationDepartment of Gastroenterology Hospital San Juan de Dios Faculty of Medicine University of Chile
dc.description.affiliationDepartament of Pathological Anatomy Clinica Universidad de los Andes
dc.description.affiliationDepartment of Pediatrics Faculty of Medicine Pontifica Universidad Catòlica
dc.description.affiliationUnespDepartment of Internal Medicine São Paulo State University (UNESP) Medical School
dc.identifierhttp://dx.doi.org/10.12659/AJCR.933565
dc.identifier.citationAmerican Journal of Case Reports, v. 22, n. 1, 2021.
dc.identifier.doi10.12659/AJCR.933565
dc.identifier.issn1941-5923
dc.identifier.scopus2-s2.0-85115788326
dc.identifier.urihttp://hdl.handle.net/11449/229590
dc.language.isoeng
dc.relation.ispartofAmerican Journal of Case Reports
dc.sourceScopus
dc.subjectEosinophilic Esophagitis
dc.subjectEsophagitis
dc.subjectImmunocompetence
dc.subjectKeratitis, Herpetic
dc.titleHerpetic esophagitis and eosinophilic esophagitis: A potential associationen
dc.typeArtigo

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