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Esophageal Trachealization: A Feature of Eosinophilic Esophagitis

Eosinophilic esophagitis (EE) is an inflammatory condition characterized by intense eosinophilic infiltration of the esophagus. EE is frequently misdiagnosed as gastroesophageal reflux disease. Here, we present a child with EE and a characteristic endoscopic finding, “ringed esophagus”. An 11-year-o...

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Detalles Bibliográficos
Autores principales: Al-Hussaini, Abdulrahman A., Semaan, Toufic, El Hag, Imad A.
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2841420/
https://www.ncbi.nlm.nih.gov/pubmed/19636182
http://dx.doi.org/10.4103/1319-3767.54747
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author Al-Hussaini, Abdulrahman A.
Semaan, Toufic
El Hag, Imad A.
author_facet Al-Hussaini, Abdulrahman A.
Semaan, Toufic
El Hag, Imad A.
author_sort Al-Hussaini, Abdulrahman A.
collection PubMed
description Eosinophilic esophagitis (EE) is an inflammatory condition characterized by intense eosinophilic infiltration of the esophagus. EE is frequently misdiagnosed as gastroesophageal reflux disease. Here, we present a child with EE and a characteristic endoscopic finding, “ringed esophagus”. An 11-year-old Saudi boy presented with dysphagia for 1 year. He had experienced an intermittent sensation of solid food sticking in his chest, which was relieved by drinking liquids. A barium swallow excluded anatomical causes of dysphagia, but revealed multiple-ringed esophagus. Endoscopy showed a furrowing and trachealizing appearance of the entire esophagus. Hisologically, extensive eosinophilic infiltration was a feature in biopsies obtained from the esophagus. The child responded well to a 2-month course of inhaled fluticasone. Symptoms recurred 3 months after discontinuation of therapy, which necessitated resumption of inhaled fluticasone. The endoscopic appearance of multiple esophageal rings should raise suspicion of EE and be confirmed by esophageal biopsies.
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spelling pubmed-28414202010-03-24 Esophageal Trachealization: A Feature of Eosinophilic Esophagitis Al-Hussaini, Abdulrahman A. Semaan, Toufic El Hag, Imad A. Saudi J Gastroenterol Case Report Eosinophilic esophagitis (EE) is an inflammatory condition characterized by intense eosinophilic infiltration of the esophagus. EE is frequently misdiagnosed as gastroesophageal reflux disease. Here, we present a child with EE and a characteristic endoscopic finding, “ringed esophagus”. An 11-year-old Saudi boy presented with dysphagia for 1 year. He had experienced an intermittent sensation of solid food sticking in his chest, which was relieved by drinking liquids. A barium swallow excluded anatomical causes of dysphagia, but revealed multiple-ringed esophagus. Endoscopy showed a furrowing and trachealizing appearance of the entire esophagus. Hisologically, extensive eosinophilic infiltration was a feature in biopsies obtained from the esophagus. The child responded well to a 2-month course of inhaled fluticasone. Symptoms recurred 3 months after discontinuation of therapy, which necessitated resumption of inhaled fluticasone. The endoscopic appearance of multiple esophageal rings should raise suspicion of EE and be confirmed by esophageal biopsies. Medknow Publications 2009-07 /pmc/articles/PMC2841420/ /pubmed/19636182 http://dx.doi.org/10.4103/1319-3767.54747 Text en © Saudi Journal of Gastroenterology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Al-Hussaini, Abdulrahman A.
Semaan, Toufic
El Hag, Imad A.
Esophageal Trachealization: A Feature of Eosinophilic Esophagitis
title Esophageal Trachealization: A Feature of Eosinophilic Esophagitis
title_full Esophageal Trachealization: A Feature of Eosinophilic Esophagitis
title_fullStr Esophageal Trachealization: A Feature of Eosinophilic Esophagitis
title_full_unstemmed Esophageal Trachealization: A Feature of Eosinophilic Esophagitis
title_short Esophageal Trachealization: A Feature of Eosinophilic Esophagitis
title_sort esophageal trachealization: a feature of eosinophilic esophagitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2841420/
https://www.ncbi.nlm.nih.gov/pubmed/19636182
http://dx.doi.org/10.4103/1319-3767.54747
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