CHEST PAIN IN AN ASPIRIN-SENSITIVE ASTHMATIC PATIENT - EOSINOPHILIC ESOPHAGITIS CAUSING ESOPHAGEAL DYSMOTILITY

We describe a case of eosinophilic esophagitis in a 38-year-old man wi th aspirin-sensitivity asthma which presented as noncardiac chest pain . Manometric measurements demonstrated tertiary contractions. Biopsies showed a dense eosinophilic infiltrate in the mucosa. There was no re sponse to therapy for reflux. Symptoms quickly resolved with corticost eroid therapy. Subsequent manometric values recorded after corticoster oid therapy showed resolution of the dysmotility. Biopsies showed norm al mucosa. Adult asthmatic subjects with noncardiac chest pain should receive further investigation if reflux therapy fails to resolve the s ymptoms.