Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Case report
A case of eosinophilic esophagitis caused by a cedar ball
Keiko FUKUOKAToshinobu IZUMIHiroaki YAKUHirokazu OKADAMako TSUBOSAKAYuki OKADATakahiro IKEMURAYoshito KAWASE
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JOURNAL FREE ACCESS

2015 Volume 112 Issue 6 Pages 1016-1022

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Abstract
A 65-year-old woman presented to our hospital with chief complaints of a strange sensation in her pharynx, dysphagia, and odynophagia. Upper gastrointestinal endoscopy showed multiple aphthae in the esophagus and she was diagnosed with eosinophilic esophagitis based on the results of biopsy. Swallowing therapy with fluticasone was scheduled; however, she subsequently developed urticaria. She was treated with systemic steroid therapy at another hospital, which improved her symptoms and endoscopic images. A detailed history revealed that she had experienced significant facial edema after making a cedar ball. It was considered that the eosinophilic esophagitis was possibly caused by cedar pollen.
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© 2015 by The Japanese Society of Gastroenterology
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