Year 2018 / Volume 110 / Number 7
Letter
A case report: asymptomatic esophageal eosinophilia after herpes simplex esophagitis. Controversies in the therapeutic approach

471-472

DOI: 10.17235/reed.2018.5508/2018

Ainara Iriarte Rodríguez, Itziar Frago Marquínez, Gina Patricia de Lima Piña,

Abstract
The coexistence of eosinophilic esophagitis and herpes simplex virus in patients has been published in numerous case reports in the last few years. Both entities can be diagnosed simultaneously or one prior to the other, raising a possible causal relationship. Esophageal eosinophilia is a histological finding, and its underlying cause should be investigated. Eosinophilic esophagitis is one of the most common causes of esophageal eosinophilia. Eosinophilic esophagitis is a clinicopathologic disease, which is characterized by dysphagia and food impaction. We present a case of a patient with asymtomatic esophageal eosinophilia diagnosed after herpetic esophagitis. Other causes of esophageal eosinophilia were ruled out. Given the recent association between eosinophilic esophagitis and esophagitis due to herpes simplex virus, we find ourselves facing a dilemma about assessing the need or not to initiate early treatment.
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References
1. Canalejo Castrillero E, García Duran f, Cabello N et al. Herpes esophagitis in healthy adults and adolescents: report of 3 cases and review of the literature.Medicine (Baltimore). 2010 Jul;89(4):204-10.
2. Molina-Infante J , Ferrando-Lamana L , Fernandez-Bermejo M et al. Eosinophilic esophagitis in GERD patients: a clinicopathological diagnosis using protein pump inhibitors . Am J Gastroenterol 2009 ; 104 : 2856 – 7.
3. Bustamante Robles Katherine Y., Burgos García Aurora, Suárez Ferrer Cristina. Eosinophilic esophagitis and herpetic esophagitis: cause or consequence?. Rev Esp Enferm Dig 2017. doi:10.17235/reed.2017.4616/2016.
4. Fritz J, Lerner D, Suchi M. Herpes Simplex Virus Esophagitis in Immunocompetent Children: A Harbinger of Eosinophilic Esophagitis?. J Pediatr Gastroenterol Nutr. 2017 Sep 20.
5. Zimmerman D, Criblez DH, Dellow ES, et al. Acute herpes simplex viral esophagitis occurring in 5 immunocompetent individuals with eosinophilic esophagitis. ACG Case Rep J 2016; 3: 165-168.
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Iriarte Rodríguez A, Frago Marquínez I, de Lima Piña G. A case report: asymptomatic esophageal eosinophilia after herpes simplex esophagitis. Controversies in the therapeutic approach. 5508/2018


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Publication history

Received: 30/01/2018

Accepted: 03/02/2018

Online First: 14/06/2018

Published: 02/07/2018

Article Online First time: 135 days

Article editing time: 153 days


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