A case of eosinophilic esophagitis caused by a cedar ball

: A 65-year-old woman presented to our hospital with chief complaints of a strange sensation in her pharynx, dysphagia, and odynophagia. Upper gastrointestinal endoscopy showed multiple aphthae in the esophagus and she was diagnosed with eosinophilic esophagitis based on the results of biopsy. Swallowing therapy with fluticasone was scheduled; however, she subsequently developed urticaria. She was treated with systemic steroid therapy at another hospital, which improved her symptoms and endoscopic images. A detailed history revealed that she had experienced significant facial edema after making a cedar ball. It was considered that the eosinophilic esophagitis was possibly caused by cedar pollen.