title: Eosinophilic Esophagitis From an Allergy Perspective: How to Optimally Pursue Allergy Testing & Dietary Modification in the Adult Population.
abstract: Eosinophilic esophagitis (EoE) is a clinicopathologic condition characterized by symptoms of esophageal dysfunction and eosinophil-predominant inflammation. In adults, the three most common treatment options are swallowed steroids, elimination diets, and periodic esophageal dilations. Many different elimination diets have been studied in adults, including elemental diets, allergy testing-directed diets, and empiric elimination diets. This article will review the existing data on these dietary therapies and will propose an approach to dietary management in adult EoE.
authors.affiliation: Department of Medicine, Division of Allergy and Clinical Immunology, University of Virginia School of Medicine, PO Box 801355, Charlottesville, VA, 22903, USA. ekc5v@virginia.edu.|Department of Medicine, Division of Allergy and Clinical Immunology, Johns Hopkins University School of Medicine, Baltimore, MD, USA. ekc5v@virginia.edu.
authors.forename: Emily C
authors.initials: EC
authors.lastname: McGowan
authors.affiliation: Department of Medicine, Division of Allergy and Clinical Immunology, University of Virginia School of Medicine, PO Box 801355, Charlottesville, VA, 22903, USA.
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Platts-Mills
mesh_terms: D057765:Eosinophilic Esophagitis / Q000175:diagnosis / Q000178:diet therapy* / Q000209:etiology* / Q000276:immunology; D005512:Food Hypersensitivity / Q000150:complications* / Q000175:diagnosis / Q000178:diet therapy* / Q000276:immunology; D006801:Humans; D007073:Immunoglobulin E / Q000276:immunology; D012882:Skin Tests / Q000379:methods
chemical_list: D007073:Immunoglobulin E
keywords: Eosinophilic esophagitis; Food-specific IgE; Six-food elimination diet; Skin prick testing