Eosinophilic esophagitis-endoscopic distinguishing findings

作     者：Ana Célia Caetano Raquel Goncalves Carla Rolanda 

作者机构：Department of GastroenterologyBraga Hospital4710243 BragaPortugal Life and Health Sciences Research InstituteSchool of Health SciencesUniversity of Minho4710057 BragaPortugal Life and Health Sciences Research Institute/3Bs-PT Government Associate Laboratory4710057 BragaPortugal 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2012年第18卷第31期

页      面：4221-4223页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Distinguishing findings Dysphagia Eosino-philic esophagitis Gastro esophageal reflux disease Histological criteria 

摘      要：Eosinophilic esophagitis （EE） is the most frequent con- dition found in a group of gastrointestinal disorders called eosinophilic gastrointestinal diseases. The hypo- thetical pathophysiological mechanism is related to a hypersensitivity reaction. Gastroesophageal reflux dis- ease-like complaints not ameliorated by acid blockade or occasional symptoms of dysphagia or food impac- tion are likely presentations of EE. Due to its unclear pathogenesis and unspecific symptoms, it is difficult to diagnose EE without a strong suspicion. Although histo- togical criteria are necessary to diagnosis EE, there are some characteristic endoscopic features. We present the case of a healthy 55-year-old woman with dyspha- gia and several episodes of esophageal food impaction over the last six months. This case report stresses the most distinguishing endoscopic findings-mucosa rings, white exudative plaques and linear furrows-that can help in the prompt recognition of this condition.