Eosinophilic esophagitis in children: a review of current guidelines based on case studies

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Abstract

Eosinophilic esophagitis (EoE) is still considered a rare disease. However, over the past decades, there has been an increase in publications on the diagnosis and treatment of EoE in both adults and children. Challenges in diagnosing EoE, especially in children, are associated with underestimation of risk factors and non-specific symptoms. For adults, the main symptom is dysphagia combined with eosinophilic infiltration of esophageal tissue (over 15 per field of view); thus, the diagnosis can be verified. The article presents a clinical case of EoE in an adolescent with an early atopic march and long-term retrosternal pain and dysphagia, and criteria for deciding on therapy are provided.

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Irina N. Zakharova

Russian Medical Academy of Continuous Professional Education

Email: zakharova-rmapo@yandex.ru
ORCID iD: 0000-0003-4200-4598

D. Sci. (Med.), Prof.

Russian Federation, Moscow

Irina V. Berezhnaya

Russian Medical Academy of Continuous Professional Education

Author for correspondence.
Email: berezhnaya-irina26@yandex.ru
ORCID iD: 0000-0002-2847-6268

Cand. Sci. (Med.)

Russian Federation, Moscow

Liudmila V. Goncharova

Bashlyaeva Children`s City Clinical Hospital

Email: doct-goncharova@mail.ru
ORCID iD: 0000-0002-6482-010X

pediatrician

Russian Federation, Moscow

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2. Fig. 1. Patient’s M. tongue appearance.

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3. Fig. 2. Endoscopic diagnostic signs of EoE (image from [18]).

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