broaden your horizons (a.k.a. good luck diagnosing this one in the ED): EE

28 May

RAGING HYPOTHETICAL:
–patient with esophageal foreign body, mobilizing for GI swallow/scope
–foreign body resolved by the time GI swallow is done
–GI consult requests IgE… why?




Eosinophilic Esophagitis (EE) 


–mimics GERD and may result in narrowing or stricture of the esophagus.  


–differentiated from GERD by the amount of mucosal eosinophilia and lack of response to acid suppression.  


–In a cohort, 71% percent of patients with EE were male with a mean age of 10.5+/-5.4 years.  


–strong familial pattern 


sometimes first presents with lodged food boluses 2/2 stricture.  




Submitted by T. Boyd.




Reference(s): Noel et al. Eosinophilic Esophagitis Correspondence. NEJM. 351:940-941. Aug 2004. picture

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: