[Young man with intermittent dysphagia].
Endoscopic findings of an 18-year old man with intermittent dysphagia showed widespread white exudations of the oesophagus. First misinterpreted as oesophageal candidiasis the mucosal biopsies revealed the histological features of a severe eosinophilic oesophagitis. Under treatment with topical steroids the symptoms dissolved. The control endoscopy showed a histological remission with absence of eosinophilic granulocytes, too. The eosinophilic oesophagitis is a rare allergy-like inflammation of the oesophagus especially seen in young men with increasing incidence. Without treatment the long-term risk of eosinophilic oesophagitis is the induction of severe oesophageal strictures.
Fuchshofer
A
A
Abteilung Innere Medizin, Kantonsspital Schaffhausen.
Külling
G
G
Rüttimann
S
S
Steiner
A
A
D000284:Administration, Oral; D000293:Adolescent; D000730:Androstadienes / Q000008:administration & dosage; D018926:Anti-Allergic Agents / Q000008:administration & dosage; D000935:Antifungal Agents / Q000008:administration & dosage; D001706:Biopsy; D002177:Candidiasis / Q000139:chemically induced / Q000175:diagnosis / Q000188:drug therapy; D003680:Deglutition Disorders / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D003937:Diagnosis, Differential; D004305:Dose-Response Relationship, Drug; D004802:Eosinophilia / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D004941:Esophagitis / Q000139:chemically induced / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D004945:Esophagoscopy; D004947:Esophagus / Q000473:pathology; D000068298:Fluticasone; D006801:Humans; D008297:Male; D008825:Miconazole / Q000008:administration & dosage
D000730:Androstadienes; D018926:Anti-Allergic Agents; D000935:Antifungal Agents; D008825:Miconazole; D000068298:Fluticasone