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

28 May

–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


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