[Idiopathic eosinophilic esophagitis: case report].
Idiopathic eosinophilic oesophagitis is a rare differential diagnosis in patients with recurrent dysphagia. In the light of a case report and a literature review the patient's symptoms are compared with those discussed in the literature. The patient's main symptom was years-long recurrent dysphagia, sometimes with obstruction. An atopic disorder combined with peripheral eosinophilia or an elevated IgE level are found in most patients. The clinical findings are non-specific. Biopsies of the whole oesophageal mucosa produced the diagnostic histology and showed extensive infiltration by eosinophilic granulocytes. The symptoms respond well to steroid therapy.
Fischer
C A
CA
Klinik für Hals-, Nasen- und Ohrenheilkunde, Hals- und Gesichtschirurgie, Kantonsspital Luzern.
Reimers
M P
MP
D000328:Adult; D003680:Deglutition Disorders; D003937:Diagnosis, Differential; D004802:Eosinophilia / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D004941:Esophagitis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood; D008297:Male; D009092:Mucous Membrane / Q000473:pathology; D013256:Steroids / Q000627:therapeutic use
D013256:Steroids; D007073:Immunoglobulin E