Eosinophilic esophagitis: still a difficult condition to diagnose. Case report

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Abstract

The prevalence of eosinophilic esophagitis (EoE) has increased significantly over the past 20 years, which may be associated with an increase in awareness of the clinical features, the definition of criteria for the diagnosis of this condition. However, in our country, this disease remains rarely diagnosed. The difficulty in diagnosing EoE is due to the insufficiently high alertness of doctors regarding the detection of EoE, the peculiarities of differential diagnosis, and the need for invasive procedures. An important factor is the presence of a highly qualified pathologist on the staff to evaluate the obtained biopsy specimens. Further study of the pathogenesis of the disease, food triggers and the development of non-invasive methods for assessing the esophagus are required.

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Irina N. Zakharova

Russian Medical Academy of Continuous Professional Education

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

D. Sci. (Med.)

Russian Federation, Moscow

Ismail M. Osmanov

Bashlyaeva Children’s City Clinical Hospital

Email: zakharova-rmapo@yandex.ru

D. Sci. (Med.), Prof.

Russian Federation, Moscow

Aleksandr N. Pampura

Russian Medical Academy of Continuous Professional Education; Pirogov Russian National Research Medical University

Email: apampura1@mail.ru

D. Sci. (Med.), Prof.

Russian Federation, Moscow; Moscow

Sergei G. Khomeriki

Loginov Moscow Clinical Research Center

Email: s.khomeriki@mknc.ru

D. Sci. (Med.)

Russian Federation, Moscow

Aleksandra S. Vorobeva

Bashlyaeva Children’s City Clinical Hospital

Email: dr.alexa@bk.ru

Cand. Sci. (Med.)

Russian Federation, Moscow

Liudmila V. Goncharova

Bashlyaeva Children’s City Clinical Hospital

Email: doct-goncharova@mail.ru

doctor

Russian Federation, Moscow

Diana K. Dmitrieva

Pirogov Russian National Research Medical University

Email: dmitrievadi@mail.ru

Medical Resident

Russian Federation, Moscow

Anastasiia S. Koshurnikova

Bashlyaeva Children’s City Clinical Hospital

Email: zakharova-rmapo@yandex.ru

Cand. Sci. (Med.)

Russian Federation, Moscow

Merab A. Kvirkvelia

Morozov Children’s City Clinical Hospital

Email: zakharova-rmapo@yandex.ru

Cand. Sci. (Med.)

Russian Federation, Moscow

Mariia A. Simakova

Russian Medical Academy of Continuous Professional Education

Email: simakova131@mail.ru

Graduate Student

Russian Federation, Moscow

Aleksandra I. Sgibneva

Pirogov Russian National Research Medical University

Email: Asgibneva470@gmail.com

Student

Russian Federation, Moscow

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Supplementary files

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2. Fig. 1. Micromorphological examination of an esophageal biopsy in a patient with EoE.

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3. Fig. 2. Appearance of the patient before (a) and after 6 months of adherence to an elimination diet (b).

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