# Severe E-Cigarette-Induced Esophagitis in a Patient With Eosinophilic Esophagitis: A Case Report

## TL;DR

A man with a history of allergies and esophageal issues developed severe esophagitis after vaping, showing a possible link between e-cigarettes and esophageal damage.

## Contribution

Highlights a rare case linking e-cigarette use to severe esophagitis in a patient with pre-existing conditions.

## Key findings

- A 24-year-old man developed severe esophageal ulcerations and necrosis after a week of vaping.
- Follow-up endoscopy showed diverticular formations and friable lesions despite treatment.
- The case suggests a potential association between vaping and ulcerative esophagitis in vulnerable individuals.

## Abstract

Chemical esophagitis, a rare and potentially life-threatening condition, was diagnosed in a 24-year-old man with food allergies, presumed IgA nephropathy, eosinophilic esophagitis (EoE), and electronic cigarette (e-cigarette) use. After a week of vaping, he developed severe dysphagia, and endoscopy revealed extensive esophageal ulcerations and necrosis. Treatment included total parenteral nutrition, esomeprazole, and sucralfate. Follow-up endoscopy showed diverticular formations and friable lesions. This case underscores the emerging link between vaping and ulcerative esophagitis, especially in patients with pre-existing conditions, highlighting the need for early diagnosis and further research to understand and manage this association.