Figures
Figure 1. Biopsy of an endoscopically obtained sample of the esophagus (× 10). Note the absence of eosinophils infiltrating the mucosal epithelium.
Figure 2. Biopsy of the muscular layer sample obtained during the Heller cardiomyotomy (× 30). Note the presence of a mixed-cell inflammatory infiltrate, composed primarily by eosinophils.
Figure 3. Biopsy of the muscular layer sample obtained during the Heller cardiomyotomy (× 100). Note the abundance of eosinophils infiltrating the muscular fibers.
Figure 4. Double-contrasted thoracic CT scan during the hospitalization (a) and 4 months after symptoms remission (b). The images show the upper esophagus (1), mid esophagus (2) and lower esophagus (3). Note the diffuse thickening of the esophageal wall, which impairs the contrast passage through the mid and lower esophagus.
Figure 5. Eosinophil absolute count variation during patient’s progression. Note that the threshold level for diagnosis of hypereosinophilic syndromes (> 1,500 eosinophils/μL) was never reached.
Figure 6. Case report timeline. Presented according to CARE guidelines.