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KMID : 1143120200100030028
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Asia Pacific Allergy
2020 Volume.10 No. 3 p.28 ~ p.28
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Pediatric patient with eosinophilic esophagitis and pollen-food allergy syndrome
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Irahara Makoto
Nomura Ichiro
Takeuchi Ichiro
Yamamoto-Hanada Kiwako
Shimizu Hirotaka
Fukuie Tatsuki
Yoshioka Takako
Arai Katsuhiro
Ohya Yukihiro
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Abstract
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The incidence of eosinophilic esophagitis (EoE) and pollen-food allergy syndrome (PFAS) is increasing worldwide, and coexistence of these 2 diseases has been reported in adults. In children, however, these conditions have not been reported as comorbidities probably because sensitization to aeroallergens occurs at an older age. We report the case of a boy with EoE and PFAS. He had had intermittent vomiting since 2 years of age. At 7 years of age, he experienced an episode of itchiness of the lips and throat for the first time, followed by vomiting, immediately after ingesting some raw fruits. We diagnosed PFAS based on the skin prick test at 8 years of age and diagnosed EoE by esophagogastroduodenoscopy 11 months after the diagnose of PFAS. His digestive symptoms did not disappear despite eliminating the fruits responsible for PFAS, but esomeprazole improved his symptoms. The incidence of EoE and PFAS as comorbidities in children might increase in the future.
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KEYWORD
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Case report, Eosinophilic esophagitis, Pollen-food allergy syndrome
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