Timing the Onset of Eosinophilic Esophagitis: A Case Report

The onset of pediatric eosinophilic esophagitis (EoE) in any particular individual is difficult to assess. Symptoms often start indolently and not until recurrent vomiting, persisting dysphagia or an episode of food being stuck is the clinical condition evident. 1The actual onset of a particular person’s EoE is therefore speculative. Children with EoE can present in early childhood, so EoE can have a relatively short natural history. In addition, the symptoms often requires different medication trials and an Esophagogastroduodenoscopy (EGD) with biopsies for clinicopathological confirmation, so the invasiveness of the procedure often precludes a prompt diagnosis. We report here a 9 year old developmentally challenged male who had serial negative esophagogastroduodenoscopies, who eventually developed EoE 2 years after non-elemental food was added via a g-button.