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Eosinophilic esophagitis: an overlooked entity in chronic dysphagia.

Yan BM, Shaffer EA

B Yan is a Chief Gastroenterology Resident and E Shaffer is a Professor of Medicine in the Division of Gastroenterology, Department of Medicine, at the University of Calgary, AB, Canada.

Background A 40-year-old white male with atopy presented to our department in March 2004 with a history of chronic heartburn and solid-food dysphagia since 1994. The patient was taking on-demand salbutamol for asthma and ranitidine for mild heartburn, occurring less than once per week. Eight years previously, he had undergone esophageal dilatation for a Schatzki's ring.Investigations Physical examination, laboratory investigations, video esophagram, upper endoscopy with mid-esophageal biopsies, and skin testing for a number of food and environmental allergens.Diagnosis Eosinophilic esophagitis.Management Topical steroids with a fluticasone 220 microg multiple-dose inhaler, four puffs swallowed twice a day for 6 weeks.

Published 4 May 2006 in Nat Clin Pract Gastroenterol Hepatol, 3(5): 285-9.
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