Case 21-year-old male comes into Student Health in July complaining of difficulty swallowing, solids>liquids, for 2 years. It bothers him less during the.

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Presentation transcript:

Case 21-year-old male comes into Student Health in July complaining of difficulty swallowing, solids>liquids, for 2 years. It bothers him less during the winter months. When he came in complaining this spring you put him on high dose PPI without relief. Otherwise he is a healthy young man with a history of seasonal allergic rhinitis for which he takes Claritin PRN.

Eosinophilic Esophagitis: What is it. What causes it Eosinophilic Esophagitis: What is it? What causes it? Why is incidence increasing? www.users.globalnet.co.uk/~aair/eosinophils.htm

L: www.utdol.com R:www.vhjoe.org/Volume3Issue1/3-1-2.htm

http://www. nature. com/modpathol/journal/v19/n1/fig_tab/3800498f3 http://www.nature.com/modpathol/journal/v19/n1/fig_tab/3800498f3.html

Prevalence in patients with dysphagia (Kapel et al.)

Sies H. A new parameter for sex education. Nature 1988;332:495.

Blanchard et al

Management Elimination diet Elemental diet Topical Steroids Systemic steroids www.users.globalnet.co.uk/~aair/eosinophils.htm

References Kapel, et al. Eosinophilic esophagitis: a prevalent disease in the United States that affects all age groups. Gastroenterol 2008; 134:1316-1321. Blanchard C, Rothenberg ME. Basic pathogenesis of eosinophilic esophagitis. Gastrointest Endosc Clin N Am 2008;18: 133-143. Sies H. A new parameter for sex education. Nature 1988;332:495. Yan BM, Shaffer EA. Eosinophilic esophagitis: a newly established cause of dysphagia. World J Gastroenterol 2006;12:2328-2334. Bonis PA, Frututa GT. Eosinophilic esophagitis. Up To Date 2008. Accessed at www.utdol.com.