| Autor: |
Hopp, Russell J., Huang, Andrew |
| Předmět: |
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| Zdroj: |
Pediatric Allergy, Immunology & Pulmonology; Sep2024, Vol. 37 Issue 3, p81-83, 3p |
| Abstrakt: |
A 16-year-old Caucasian male with previously diagnosed eosinophilic esophagitis (EoE) 4 years before his initial visit to an allergist-immunologist, scheduled due to severe dysphagia and recurrent food impaction. He had been off EoE therapy for 1 year. After resuming inhaled fluticasone and a proton pump inhibitor (PPI), esophagogastroduodenoscopy (EGD) was immediately scheduled. The dates of the original EGD procedures with the histological summary and EoE therapy are reported in the Table 1. The fourth endoscopy revealed near normal histology, with rare candida staining (Table 1). He was continued on daily PPI and the fluticasone was discontinued. Three weeks of Fluconazole failed to resolve his dysphagia. A repeat barium swallow confirmed a pre-existing cricopharyngeal bar, and he was referred to an otolaryngology for further care. Table 1. Date Proximal eosinophils/HPF Mid eosinophils/HPF Distal eosinophils/HPF Therapy 2019 (first) 30 30 15 None 2019 (second) 70 60 100 PPI 2019 (third) 80 100 100 Swallowed budesonide 1 mg BID + PPI 2023 (fourth) 3 N/D 5 PPI + 220 µg of Fluticasone PPI, proton pump inhibitor. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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