Case Report: PDF OnlyEosinophilic Esophagitis in an Asymptomatic ChineseLu, Hsueh-Chieh; Lu, Ching-Liang*; Chang, Full-YoungAuthor Information Division of Gastroenterology, Taipei Veterans General Hospital, and National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C. *Correspondence to: Dr Ching-Liang Lu, Division of Gastroenterology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C E-mail: [email protected] Received: October 1, 2007; • Accepted: February 22, 2008. Journal of the Chinese Medical Association: July 2008 - Volume 71 - Issue 7 - p 362-364 doi: 10.1016/S1726-4901(08)70140-0 Metrics Abstract Eosinophilic esophagitis is a growing problem in adults in Western countries. It is characterized by nausea, vomiting, dysphagia, food impaction, epigastralgia, heart burn and chest pain. Histologic survey is the most potent diagnostic tool. The diagnostic hallmark is the presence of more than 20 eosinophils per high-powered field on esophageal specimen and the absence of mucosal eosinophilia in the stomach. We herein report an asymptomatic Chinese male with eosinophilic esophagitis, which to the best of our knowledge is the first reported case in Asia. The unusual feature of the current case was the lack of symptoms. This case confirms that a dense infiltration of esophageal eosinophils can occur asymptomatically. © 2008 by Lippincott Williams & Wilkins, Inc.