molto. ‘Mi dispiace per questo, disse Clennam:’ Non che sia importante ora,occhiali fendi sole, però. Allora,sciarpa fendi, che cosa hai fatto? ‘Allora, rispose Pancks,’ ho preso in prestito una somma di mio titolare. ‘Di Mr Casby? disse Clennam. ‘Hes un antico compagni. ‘Vecchio ragazzo Noble; aint lui? ha affermato Pancks, entrando in una serie di sbuffi più secchi. ‘Buck vecchio generoso. Confidando vecchio mio. Filantropica buck vecchio. Benevolo vecchio ragazzo! Il venti p
Eosinophilic esophagitis and herpes simplex esophagitis are separately well-described entities, but their simultaneous occurrence may pose a special challenge to the clinician, especially regarding the optimal therapeutic approach. The following case report describes a patient with a history of cow's milk and dairy products intolerance, but without an underlying immunologic defect, in whom eosinophilic esophagitis was diagnosed in the course of primary herpes simplex virus 1 (HSV1) infection that clinically presented as herpes labialis and severe esophagitis. The diagnosis was confirmed by a polymerase chain reaction from cytological brush and by immunohistochemical staining that detected the presence of HSV1 DNA in esophageal mucosa, and histologically by persistent eosinophil-predominant inflammation, typical of eosinophilic esophagitis. Despite severe clinical presentation, the HSV1 infection was self-limited. After a directed elimination diet was introduced, the clinical course was favorable, without the need for antiviral therapy.