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Lymphocytic Esophagitis: A Histologic Pattern of Various Underlying Disorders.

J Clin Gastroenterol

October 2024

Department of Pathology, School of Medicine, Lebanese American University, Byblos, Lebanon.

Background: Lymphocytic esophagitis (LyE) is a rare condition that has been reported in several case studies, but its diagnostic criteria and clinical significance are inconsistent. There are no established clinical associations, except for Crohn's disease in children. Our study aimed to determine if patients with LyE have distinct demographic or clinical characteristics when compared with patients with increased intraepithelial lymphocytes (IEL) in their esophageal biopsy.

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Identifying the set of genes collectively responsible for causing a disease from differential gene expression data is called gene selection problem. Though many complex methodologies have been applied to solve gene selection, formulated as an optimization problem, this study introduces a new simple, efficient, and biologically plausible solution procedure where the collective power of the targeted gene set to discriminate between diseased and normal gene expression profiles was focused. It uses Simulated Annealing to solve the underlying optimization problem and termed here as Differential Gene Expression Based Simulated Annealing (DGESA).

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Article Synopsis
  • Etrasimod is a selective oral drug that has been linked to a potential increased risk of macular edema, a condition affecting the eye.
  • In a clinical study focusing on patients with conditions like ulcerative colitis and Crohn's disease, the rate of macular edema associated with etrasimod was similar to that of a placebo, with very few cases reported.
  • Overall, macular edema and other eye-related issues were rare among patients taking etrasimod, and most related side effects were not serious.
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Unlabelled: Crohn's disease (CD) is a transmural inflammatory process that can affect any segment of the gastrointestinal tract. CD has a predilection for the colon and the small bowel, specifically the terminal ileum. Esophageal involvement of CD is exceedingly rare and there is a paucity of data regarding the disease phenotypes, course, complications and treatment.

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Introduction: Lymphocytic esophagitis (LyE) is a rare esophageal disorder of unknown etiology, characterized by dense peripapillary lymphocytes without neutrophils or eosinophils, and spongiosis. Patients typically present with symptoms such as dysphagia or chest pain. Here, we describe a notable case of lymphocytic esophagitis in a patient who presented with food impaction.

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