A CASE OF EOSINOPHILIC ESOPHAGITIS WITH PLEURAL EFFUSION

Abstract

A 58-year-old man was referred to our hospital because of dysphagia and urticaria. Serum eosinophil level was high. Upper gastrointestinal endoscopy revealed that the esophageal wall was a thickened with white exudate stuck to the surface. Biopsy specimen showed eosinophilic infiltration in the esophageal epithelium. Thoracic CT showed esophageal wall thicking and bilateral pleural effusion. We diagnosed it as eosininophlic esophagitis. The symptom immediately improved by the steroid therapy. Eosinophilic esophagitis is a rare disease in Japan and this case was thought to be worth repoting.