Dysphagia as an Initial Manifestation of Eosinophilic Esophagitis
| Autor: | Keerti Deepika, Ramesh Adhikari, Sreedhar Adapa, Venu Madhav Konala, Srikanth Naramala |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
esophageal stenosis Disease 030204 cardiovascular system & hematology Esophageal Disorder sublingual immunotherapy Allergy/Immunology eosinophilic esophagitis 03 medical and health sciences 0302 clinical medicine Biopsy Internal Medicine Medicine Eosinophilia intra-epithelial eosinophilia Eosinophilic esophagitis Fluticasone allergic rhinitis medicine.diagnostic_test business.industry Gastroenterology General Engineering medicine.disease Dysphagia Dermatology medicine.symptom business Odynophagia 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.7898 |
| Popis: | Eosinophilic esophagitis (EoE) is a clinicopathological condition characterized clinically by symptoms of esophageal dysfunction, with typical endoscopic findings and intra-epithelial eosinophilia on biopsy. This case report focuses on the historical aspect of EoE, clinical manifestations, and correlation with immune disorders, medical management, and interventional management of EoE. We present a 20-year-old patient presenting with tightness in throat and odynophagia after the ingestion of certain foods. These symptoms resolve in two or three hours. Endoscopic examination of the upper gastrointestinal tract visualizes esophageal stenosis, and histological examination of the biopsy specimen reveals increased eosinophils in the esophageal mucosa. The patient was treated with fluticasone inhaler and has shown improvement in symptoms. EoE is a chronic esophageal disorder that is increasing in incidence and prevalence in both pediatric and adult age groups. This case report accentuates the complications of EoE, and delays in diagnosis lead to strictures, and fibro-stenotic disease and punctual recognition can govern the course of the disease. |
| Databáze: | OpenAIRE |
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