Eosinophilic Esophagitis with Angina Pectoris
- Author:
Min Young SON
1
;
Sung Eun KIM
;
Seun Ja PARK
;
Moo In PARK
;
Won MOON
;
Jae Hyun KIM
;
Kyoungwon JUNG
;
Gil-Soon CHOI
;
Sung Il IM
Author Information
- Publication Type:CASE REPORT
- From:The Korean Journal of Gastroenterology 2020;76(2):78-82
- CountryRepublic of Korea
- Language:Korean
- Abstract: Eosinophilic esophagitis (EoE) is an immune or antigen-mediated chronic inflammatory esophageal disorder that is relatively rarein Asian countries. The main symptoms of EoE are dysphagia and food impaction. Although chest pain is a symptom of EoE, it isalso a symptom of coronary heart disease. This paper reports a case of EoE with angina pectoris in a 45-year-old male who wasreferred to the authors’ hospital for chest pain. He was diagnosed with angina pectoris because of mild stenosis in the left coronaryartery on coronary angiography. On the other hand, the symptoms did not improve with angina medication therapy.Therefore, he underwent a chest CT scan, which revealed esophageal thickening. Esophagogastroduodenoscopy was performed.His endoscopic findings showed linear furrows with edema, and >90 eosinophils existed per high-power field on the histologyfindings. He was diagnosed with EoE. Through additional examinations, he was also diagnosed with asthma. The patient wastreated with a proton pump inhibitor and a fluticasone inhaler. His symptoms and abnormal endoscopic findings disappeared aftereight weeks of treatment. This case shows that physicians should consider the possibility of the symptoms for EoE when unexplainedchest pain persists.
