title: Lymphocytic esophagitis: a histologic pattern with emerging clinical ramifications.
abstract: The clinical significance of lymphocytic esophagitis (LyE), which is characterized by the prominence of peripapillary intraepithelial lymphocytes (IELs) without significant granulocytosis, remains poorly understood. During the last few years, plausible clinical correlates and novel approaches for stratification of LyE have started to emerge. Association with Crohn's disease has been established in children, but is not observed in adults. In adults, the form of LyE showing CD4+-predominant IELs has been recently found to be associated with non-achalasia primary motility abnormalities. GERD is another possible association. The most common clinical manifestations of adult LyE are dysphagia and normal endoscopic appearance of the esophagus. LyE should be reported by pathologists in order to distinguish it from its mimics, such as eosinophilic esophagitis, and to assist in directing the next steps in evaluation for known associated diseases, such as Crohn's disease or motility disorders.
authors.affiliation: Department of Pathology, Dartmouth-Hitchcock Medical Center and Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
authors.forename: Mikhail
authors.initials: M
authors.lastname: Lisovsky
authors.affiliation: Department of Anatomic Pathology, University of Washington School of Medicine, Seattle, Washington.
authors.forename: Maria
authors.initials: M
authors.lastname: Westerhoff
authors.affiliation: Department of Pathology, Yale University School of Medicine, New Haven, Connecticut. Xuchen.zhang@yale.edu.
authors.forename: Xuchen
authors.initials: X
authors.lastname: Zhang
mesh_terms: D000818:Animals; D057765:Eosinophilic Esophagitis / Q000175:diagnosis* / Q000628:therapy; D004947:Esophagus / Q000473:pathology*; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008214:Lymphocytes / Q000473:pathology*
keywords: esophagus; gastroesophageal reflux disease; lymphocytic esophagitis; motility disorders