title: A rare cause of chronic dysphagia: eosinophilic esophagitis†.
abstract: Eosinophilic esophagitis (EE) is attributable to environmental factors, allergens and several immunological causes. The most typical symptoms include dysphagia and sensation of food impingement in the retrosternal area. Although its clinical features resemble those of gastroesophageal reflux, proton pump inhibitors are not effective for its treatment. The diagnosis of EE is dependent on the pathological detection of eosinophilic infiltration in esophageal mucosa. In this study, we evaluated a patient who applied to our clinic with complaints of long-term difficulty in swallowing, sensation of food sticking while eating and weight loss; the patient was diagnosed with EE, following biochemical, radiological, endoscopic and pathological assessments and was treated with steroids. The results show that EE should be considered in the differential diagnosis of patients with dysphagia and food impingement in the retrosternal area, and the diagnosis should be confirmed through multiple esophageal biopsies.
authors.affiliation: Tuzla Hospital, İstanbul, Turkey.
authors.forename: Sebahattin
authors.initials: S
authors.lastname: Destek
authors.affiliation: Edremit Military Hospital, Balikesir, Turkey vonurgul@hotmail.com.
authors.forename: Vahit Onur
authors.initials: VO
authors.lastname: Gul
authors.affiliation: Edremit Military Hospital, Balikesir, Turkey.
authors.forename: Serkan
authors.initials: S
authors.lastname: Ahioglu
authors.affiliation: Patomer Laboratories, İstanbul, Turkey.
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Tatar
authors.affiliation: General Surgery Department, Istanbul University Medical School, İstanbul, Turkey.
authors.forename: Yesim
authors.initials: Y
authors.lastname: Erbil