A rare endoscopic pattern in a patient with gastroesophageal reflux disease

Abstract

A 21-year-old male with a personal history of asthma and no usual medication was referred to gastroenterology appointment due to dysphagia for solids and previous episodes of food impaction in the last five months. He also reported nocturnal heartburn without any other warning signs. Upper gastroscopy revealed a peptic stenosis in the distal esophagus. Histopathologic examination showed hyperplasia and numerous intraepithelial eosinophils, without dysplasia or malignancy. Therapy with a double-dose proton pump inhibitor (PPI) was started.