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Eosinophilic esophagitis.
Curr Opin Pediatr 2007; 19(5):575-80CO

Abstract

PURPOSE OF REVIEW

Eosinophilic esophagitis is a disorder increasing in frequency that typically causes symptoms similar to those seen with gastroesophageal reflux, and is characterized by increased eosinophils isolated to the esophagus despite the use of antireflux medications. We present a review of the literature including basic science research, prevalence, clinical presentation, diagnosis, and management of eosinophilic esophagitis.

RECENT FINDINGS

Over the past few years, there has been a dramatic increase in the number of publications relating to eosinophilic esophagitis in terms of case reports, cohorts of patients, familial occurrences, pathogenesis, and treatment options. Recent work confirms the role of food allergy in many patients with eosinophilic esophagitis. Several medications, including corticosteroids [topical (swallowed) or systemic], leukotriene receptor antagonists and, most recently, biologic molecules (such as anti-IL5), have been utilized. Although eosinophilic esophagitis is treatable, it is thought to be a chronic illness that requires dietary restriction or chronic medical therapy.

SUMMARY

Eosinophilic esophagitis is being diagnosed in both children and adults with increasing frequency. Allergists, gastroenterologists, pathologists, internists, pediatricians, and otolaryngologists must not only be educated to be able to properly identify patients with eosinophilic esophagitis but also be informed about the current treatment and management of these patients.

Authors+Show Affiliations

Division of Allergy and Immunology, The Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104, USA.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

17885478

Citation

Brown-Whitehorn, Terri, and Chris A. Liacouras. "Eosinophilic Esophagitis." Current Opinion in Pediatrics, vol. 19, no. 5, 2007, pp. 575-80.
Brown-Whitehorn T, Liacouras CA. Eosinophilic esophagitis. Curr Opin Pediatr. 2007;19(5):575-80.
Brown-Whitehorn, T., & Liacouras, C. A. (2007). Eosinophilic esophagitis. Current Opinion in Pediatrics, 19(5), pp. 575-80.
Brown-Whitehorn T, Liacouras CA. Eosinophilic Esophagitis. Curr Opin Pediatr. 2007;19(5):575-80. PubMed PMID: 17885478.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Eosinophilic esophagitis. AU - Brown-Whitehorn,Terri, AU - Liacouras,Chris A, PY - 2007/9/22/pubmed PY - 2008/1/24/medline PY - 2007/9/22/entrez SP - 575 EP - 80 JF - Current opinion in pediatrics JO - Curr. Opin. Pediatr. VL - 19 IS - 5 N2 - PURPOSE OF REVIEW: Eosinophilic esophagitis is a disorder increasing in frequency that typically causes symptoms similar to those seen with gastroesophageal reflux, and is characterized by increased eosinophils isolated to the esophagus despite the use of antireflux medications. We present a review of the literature including basic science research, prevalence, clinical presentation, diagnosis, and management of eosinophilic esophagitis. RECENT FINDINGS: Over the past few years, there has been a dramatic increase in the number of publications relating to eosinophilic esophagitis in terms of case reports, cohorts of patients, familial occurrences, pathogenesis, and treatment options. Recent work confirms the role of food allergy in many patients with eosinophilic esophagitis. Several medications, including corticosteroids [topical (swallowed) or systemic], leukotriene receptor antagonists and, most recently, biologic molecules (such as anti-IL5), have been utilized. Although eosinophilic esophagitis is treatable, it is thought to be a chronic illness that requires dietary restriction or chronic medical therapy. SUMMARY: Eosinophilic esophagitis is being diagnosed in both children and adults with increasing frequency. Allergists, gastroenterologists, pathologists, internists, pediatricians, and otolaryngologists must not only be educated to be able to properly identify patients with eosinophilic esophagitis but also be informed about the current treatment and management of these patients. SN - 1040-8703 UR - https://www.unboundmedicine.com/medline/citation/17885478/Eosinophilic_esophagitis_ L2 - http://Insights.ovid.com/pubmed?pmid=17885478 DB - PRIME DP - Unbound Medicine ER -