Eosinophilic Esophagitis: An Overlooked Entity in Chronic Dysphagia

Brian M. Yan and Eldon A. Shaffer

Disclosures

Nat Clin Pract Gastroenterol Hepatol. 2006;3(5):285-289. 

In This Article

Summary

Background: A 40-year-old white male with atopy presented to our department in March 2004 with a history of chronic heartburn and solid-food dysphagia since 1994. The patient was taking on-demand salbutamol for asthma and ranitidine for mild heartburn, occurring less than once per week. Eight years previously, he had undergone esophageal dilatation for a Schatzki's ring.
Investigations: Physical examination, laboratory investigations, video esophagram, upper endoscopy with mid-esophageal biopsies, and skin testing for a number of food and environmental allergens.
Diagnosis: Eosinophilic esophagitis.
Management: Topical steroids with a fluticasone 220 µg multiple-dose inhaler, four puffs swallowed twice a day for 6 weeks.

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