Profuse Upper GI Bleeding Secondary to Eosinophilic Esophagitis

Eosinophilic esophagitis is a chronic disease with immunoallergic etiology. In this condition infiltration of the esophagus with eosinophils, results in esophageal dysfunction. A sixteen years old girl was admitted to the emergency department with profuse hematemesis. Patient needed multiple blood transfusions. Endoscopy ruled out surgical causes of upper GI bleed and esophageal punch biopsy revealed eosinophilic esophagitis. Patient responded well to anti-allergic treatment.