AI Article Synopsis
- Eosinophilic esophagitis is a rising condition linked to increased allergic disorders, often presenting with symptoms like chronic dysphagia in young individuals.
- A 29-year-old man experienced intermittent dysphagia for four years, supporting the typical symptoms of the condition, including a history of allergies and foreign body impaction.
- Diagnosis requires systematic biopsies to check for more than 15 eosinophils per high power field, with treatment focusing on topical corticosteroids and addressing potential allergic triggers.
Article Abstract
Eosinophilic esophagitis is an unrecognized and emerging entity. Its incidence increases with allergic disorders. A 29-year-old man presented with a 4-year history of intermittent and paroxysmal dysphagia. The triad including allergy, young age, and impaction of foreign bodies, combined with a chronic dysphagia is almost pathognomonic of eosinophilic esophagitis. Endoscopic esophageal features can be diverse, so systematic esophageal biopsies are required. Diagnosis is established with the demonstration of an eosinophilic infiltrate with a cell count exceeding 15 eosinophils per high power field (×400). First line therapy includes swallowed topical corticosteroids and removal of an allergic cause, when it could be identified.
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| http://dx.doi.org/10.1016/j.revmed.2009.12.017 | DOI Listing |
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