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

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.