Clinical presentation vs endoscopy for an early diagnosis of eosinophilic esophagitis

a case report

Authors

  • Michele Di Stefano 1st Department of Internal Medicine, IRCCS "S. Matteo" Hospital Foundation, P. le Camillo Golgi 2, 27100, Pavia, Italy. Tel: +39-0382-502975, Fax: +39-0382-502618; E-mail: m.distefano@unipv.it https://orcid.org/0000-0002-6971-6854
  • Giacomo Grandi 1st Department of Internal Medicine, IRCCS “S. Matteo” Hospital Foundation, Pavia, Italy; University of Pavia, Italy https://orcid.org/0000-0003-1795-7645
  • Vera Bonaso 1st Department of Internal Medicine, IRCCS “S. Matteo” Hospital Foundation, Pavia, Italy https://orcid.org/0000-0002-7817-8664
  • Elisabetta Pagani 1st Department of Internal Medicine, IRCCS “S. Matteo” Hospital Foundation, Pavia, Italy https://orcid.org/0000-0003-1795-601X
  • Gino Roberto Corazza 1st Department of Internal Medicine, IRCCS “S. Matteo” Hospital Foundation, Pavia, Italy; University of Pavia, Italy https://orcid.org/0000-0001-9532-0573
  • Antonio Di Sabatino 1st Department of Internal Medicine, IRCCS “S. Matteo” Hospital Foundation, Pavia, Italy; University of Pavia, Italy https://orcid.org/0000-0002-0302-8645

DOI:

https://doi.org/10.17179/excli2022-4838

Keywords:

eosinophilic esophagitis, esophageal eosinophilia, dysphagia, esophageal dysphagia

Abstract

Eosinophilic esophagitis (EoE) is a type-2 mediated, chronic inflammatory disease showing an increase of both incidence and prevalence. Early diagnosis is mandatory, to prevent fibrostenotic complication of the disease. Due to the low sensitivity of the classic endoscopic features of the disease, a strong clinical suspicion should drive the decision to collect mucosal biopsies of the esophagus. We describe the case of an atopic patient suffering from dysphagia with normal esophageal mucosa and frank histological hallmarks of the disease.

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Published

2022-03-24

How to Cite

Di Stefano, M., Grandi, G., Bonaso, V., Pagani, E., Corazza, G. R., & Di Sabatino, A. (2022). Clinical presentation vs endoscopy for an early diagnosis of eosinophilic esophagitis: a case report. EXCLI Journal, 21, 651–655. https://doi.org/10.17179/excli2022-4838

Issue

Vol. 21 (2022)

Section

Case reports

License

Copyright (c) 2022 Michele Di Stefano, Giacomo Grandi, Vera Bonaso, Elisabetta Pagani, Gino Roberto Corazza, Antonio Di Sabatino

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