Esophageal Mast Cell Infiltration in a 32-Year-Old Woman with Noncardiac Chest Pain.
- Author:
Keol LEE
1
;
Hee Jin KWON
;
In Young KIM
;
Kwai Han YOO
;
Seulkee LEE
;
Yang Won MIN
;
Poong Lyul RHEE
Author Information
- Publication Type:Brief Communication ; Case Reports
- Keywords: Gastroesophageal reflux; Mast cell; Noncardiac chest pain
- MeSH: Adult; Chest Pain/*etiology; Esophageal Diseases/*complications/drug therapy; Esophagus/cytology/pathology; Female; Histamine Antagonists/therapeutic use; Humans; Leukotriene Antagonists/therapeutic use; Mast Cells/metabolism; Mastocytosis/*complications/drug therapy
- From:Gut and Liver 2016;10(1):152-155
- CountryRepublic of Korea
- Language:English
- Abstract: Noncardiac chest pain (NCCP) is one of the most common esophageal symptoms and lacks a clearly defined mechanism. The most common cause of NCCP is gastroesophageal reflux disease (GERD). One of the accepted mechanisms of NCCP in a patient without GERD has been altered visceral sensitivity. Mast cells may play a role in visceral hypersensitivity in irritable bowel syndrome. In this case, a patient with NCCP and dysphagia who was unresponsive to proton pump inhibitor treatment had an increased esophageal mast cell infiltration and responded to 14 days of antihistamine and antileukotriene treatment. We suggest that there may be a relationship between esophageal symptoms such as NCCP and esophageal mast cell infiltration.
