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===History===
===History===
Obtaining history gives important information in making a diagnosis of [[Eosinophilic esophagitis|EoE]]. It provides an insight into the cause, precipitating factors, and associated [[Comorbidities|comorbid]] conditions. A complete history will help determine the correct [[therapy]] and helps in determining the [[prognosis]]. The areas of focus should be on onset, duration, and progression of symptoms such as
* Obtaining history gives important information in making a diagnosis of [[Eosinophilic esophagitis|EoE]].  
* It provides an insight into the cause, precipitating factors, and associated [[Comorbidities|comorbid]] conditions.  
* A complete history will help determine the correct [[therapy]] and helps in determining the [[prognosis]].  
* The areas of focus should be on onset, duration, and progression of symptoms such as


===Symptoms===
===Symptoms===
The symptoms of the eosinophilic esophagitis are as follows:<ref name="pmid18471509">{{cite journal |vauthors=Kapel RC, Miller JK, Torres C, Aksoy S, Lash R, Katzka DA |title=Eosinophilic esophagitis: a prevalent disease in the United States that affects all age groups |journal=Gastroenterology |volume=134 |issue=5 |pages=1316–21 |year=2008 |pmid=18471509 |doi=10.1053/j.gastro.2008.02.016 |url=}}</ref><ref name="pmid12612531">{{cite journal |vauthors=Straumann A, Rossi L, Simon HU, Heer P, Spichtin HP, Beglinger C |title=Fragility of the esophageal mucosa: a pathognomonic endoscopic sign of primary eosinophilic esophagitis? |journal=Gastrointest. Endosc. |volume=57 |issue=3 |pages=407–12 |year=2003 |pmid=12612531 |doi=10.1067/mge.2003.123 |url=}}</ref><ref name="pmid18407800">{{cite journal |vauthors=Straumann A, Bussmann C, Zuber M, Vannini S, Simon HU, Schoepfer A |title=Eosinophilic esophagitis: analysis of food impaction and perforation in 251 adolescent and adult patients |journal=Clin. Gastroenterol. Hepatol. |volume=6 |issue=5 |pages=598–600 |year=2008 |pmid=18407800 |doi=10.1016/j.cgh.2008.02.003 |url=}}</ref><ref name="pmid19577011">{{cite journal |vauthors=Prasad GA, Alexander JA, Schleck CD, Zinsmeister AR, Smyrk TC, Elias RM, Locke GR, Talley NJ |title=Epidemiology of eosinophilic esophagitis over three decades in Olmsted County, Minnesota |journal=Clin. Gastroenterol. Hepatol. |volume=7 |issue=10 |pages=1055–61 |year=2009 |pmid=19577011 |pmc=3026355 |doi=10.1016/j.cgh.2009.06.023 |url=}}</ref><ref name="pmid17617880">{{cite journal |vauthors=Pasha SF, DiBaise JK, Kim HJ, De Petris G, Crowell MD, Fleischer DE, Sharma VK |title=Patient characteristics, clinical, endoscopic, and histologic findings in adult eosinophilic esophagitis: a case series and systematic review of the medical literature |journal=Dis. Esophagus |volume=20 |issue=4 |pages=311–9 |year=2007 |pmid=17617880 |doi=10.1111/j.1442-2050.2007.00721.x |url=}}</ref><ref name="pmid20843755">{{cite journal |vauthors=García-Compeán D, González González JA, Marrufo García CA, Flores Gutiérrez JP, Barboza Quintana O, Galindo Rodríguez G, Mar Ruiz MA, de León Valdez D, Jaquez Quintana JO, Maldonado Garza HJ |title=Prevalence of eosinophilic esophagitis in patients with refractory gastroesophageal reflux disease symptoms: A prospective study |journal=Dig Liver Dis |volume=43 |issue=3 |pages=204–8 |year=2011 |pmid=20843755 |doi=10.1016/j.dld.2010.08.002 |url=}}</ref><ref name="urlEosinophilic esophagitis">{{cite web |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332835/ |title=Eosinophilic esophagitis |format= |work= |accessdate=}}</ref>
The symptoms of the eosinophilic esophagitis are as follows:<ref name="pmid18471509">{{cite journal |vauthors=Kapel RC, Miller JK, Torres C, Aksoy S, Lash R, Katzka DA |title=Eosinophilic esophagitis: a prevalent disease in the United States that affects all age groups |journal=Gastroenterology |volume=134 |issue=5 |pages=1316–21 |year=2008 |pmid=18471509 |doi=10.1053/j.gastro.2008.02.016 |url=}}</ref><ref name="pmid12612531">{{cite journal |vauthors=Straumann A, Rossi L, Simon HU, Heer P, Spichtin HP, Beglinger C |title=Fragility of the esophageal mucosa: a pathognomonic endoscopic sign of primary eosinophilic esophagitis? |journal=Gastrointest. Endosc. |volume=57 |issue=3 |pages=407–12 |year=2003 |pmid=12612531 |doi=10.1067/mge.2003.123 |url=}}</ref><ref name="pmid18407800">{{cite journal |vauthors=Straumann A, Bussmann C, Zuber M, Vannini S, Simon HU, Schoepfer A |title=Eosinophilic esophagitis: analysis of food impaction and perforation in 251 adolescent and adult patients |journal=Clin. Gastroenterol. Hepatol. |volume=6 |issue=5 |pages=598–600 |year=2008 |pmid=18407800 |doi=10.1016/j.cgh.2008.02.003 |url=}}</ref><ref name="pmid19577011">{{cite journal |vauthors=Prasad GA, Alexander JA, Schleck CD, Zinsmeister AR, Smyrk TC, Elias RM, Locke GR, Talley NJ |title=Epidemiology of eosinophilic esophagitis over three decades in Olmsted County, Minnesota |journal=Clin. Gastroenterol. Hepatol. |volume=7 |issue=10 |pages=1055–61 |year=2009 |pmid=19577011 |pmc=3026355 |doi=10.1016/j.cgh.2009.06.023 |url=}}</ref><ref name="pmid17617880">{{cite journal |vauthors=Pasha SF, DiBaise JK, Kim HJ, De Petris G, Crowell MD, Fleischer DE, Sharma VK |title=Patient characteristics, clinical, endoscopic, and histologic findings in adult eosinophilic esophagitis: a case series and systematic review of the medical literature |journal=Dis. Esophagus |volume=20 |issue=4 |pages=311–9 |year=2007 |pmid=17617880 |doi=10.1111/j.1442-2050.2007.00721.x |url=}}</ref><ref name="pmid20843755">{{cite journal |vauthors=García-Compeán D, González González JA, Marrufo García CA, Flores Gutiérrez JP, Barboza Quintana O, Galindo Rodríguez G, Mar Ruiz MA, de León Valdez D, Jaquez Quintana JO, Maldonado Garza HJ |title=Prevalence of eosinophilic esophagitis in patients with refractory gastroesophageal reflux disease symptoms: A prospective study |journal=Dig Liver Dis |volume=43 |issue=3 |pages=204–8 |year=2011 |pmid=20843755 |doi=10.1016/j.dld.2010.08.002 |url=}}</ref><ref name="urlEosinophilic esophagitis">{{cite web |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332835/ |title=Eosinophilic esophagitis |format= |work= |accessdate=}}</ref>
* [[Dysphagia]]: [[difficulty swallowing]]
* [[Dysphagia]]
* [[Regurgitation]]: [[reappearance of ingested food in the mouth]]  
* [[Regurgitation]]  
* [[Cough]]: as some food may be [[regurgitated]] into the airways
* [[Cough]]: as some food may be [[regurgitated]] into the airways
* [[Chest pain]]
* [[Chest pain]]

Latest revision as of 18:12, 20 December 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ajay Gade MD[2]]

Overview

The history and symptoms of eosinophilic esophagitis (EoE), dysphagia, regurgitation, cough, chest pain, food impaction, upper abdominal pain, vomiting. Clinical features in children are follows abdominal pain, nausea, emesis, failure to thrive. Clinical features in the adolescents and adults are as follows dysphagia, heartburn, food impaction, strictures.

History and Symptoms

History

  • Obtaining history gives important information in making a diagnosis of EoE.
  • It provides an insight into the cause, precipitating factors, and associated comorbid conditions.
  • A complete history will help determine the correct therapy and helps in determining the prognosis.
  • The areas of focus should be on onset, duration, and progression of symptoms such as

Symptoms

The symptoms of the eosinophilic esophagitis are as follows:[1][2][3][4][5][6][7]

Clinical features in children

Adolescents and adults

References

  1. ↑ Kapel RC, Miller JK, Torres C, Aksoy S, Lash R, Katzka DA (2008). "Eosinophilic esophagitis: a prevalent disease in the United States that affects all age groups". Gastroenterology. 134 (5): 1316–21. doi:10.1053/j.gastro.2008.02.016. PMID 18471509.
  2. ↑ Straumann A, Rossi L, Simon HU, Heer P, Spichtin HP, Beglinger C (2003). "Fragility of the esophageal mucosa: a pathognomonic endoscopic sign of primary eosinophilic esophagitis?". Gastrointest. Endosc. 57 (3): 407–12. doi:10.1067/mge.2003.123. PMID 12612531.
  3. ↑ Straumann A, Bussmann C, Zuber M, Vannini S, Simon HU, Schoepfer A (2008). "Eosinophilic esophagitis: analysis of food impaction and perforation in 251 adolescent and adult patients". Clin. Gastroenterol. Hepatol. 6 (5): 598–600. doi:10.1016/j.cgh.2008.02.003. PMID 18407800.
  4. ↑ Prasad GA, Alexander JA, Schleck CD, Zinsmeister AR, Smyrk TC, Elias RM, Locke GR, Talley NJ (2009). "Epidemiology of eosinophilic esophagitis over three decades in Olmsted County, Minnesota". Clin. Gastroenterol. Hepatol. 7 (10): 1055–61. doi:10.1016/j.cgh.2009.06.023. PMC 3026355. PMID 19577011.
  5. ↑ Pasha SF, DiBaise JK, Kim HJ, De Petris G, Crowell MD, Fleischer DE, Sharma VK (2007). "Patient characteristics, clinical, endoscopic, and histologic findings in adult eosinophilic esophagitis: a case series and systematic review of the medical literature". Dis. Esophagus. 20 (4): 311–9. doi:10.1111/j.1442-2050.2007.00721.x. PMID 17617880.
  6. ↑ García-Compeán D, González González JA, Marrufo García CA, Flores Gutiérrez JP, Barboza Quintana O, Galindo Rodríguez G, Mar Ruiz MA, de León Valdez D, Jaquez Quintana JO, Maldonado Garza HJ (2011). "Prevalence of eosinophilic esophagitis in patients with refractory gastroesophageal reflux disease symptoms: A prospective study". Dig Liver Dis. 43 (3): 204–8. doi:10.1016/j.dld.2010.08.002. PMID 20843755.
  7. ↑ "Eosinophilic esophagitis".


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