Rare coincidence of eosinophilic esophagitis with esophageal stenosis and intramural pseudodiverticulosis

被引：14
|
作者：
Engel, M. A. [1 ]
Raithel, M. [1 ]
Amann, K. [2 ]
Greess, H. [3 ]
Hahn, E. G. [1 ]
Konturek, P. C. [1 ]
机构：
[1] Univ Erlangen Nurnberg, Dept Med 1, D-91054 Erlangen, Germany
[2] Univ Erlangen Nurnberg, Dept Pathol, D-91054 Erlangen, Germany
[3] Univ Erlangen Nurnberg, Dept Radiol, D-91054 Erlangen, Germany
来源：
DIGESTIVE AND LIVER DISEASE | 2008年 / 40卷 / 08期
关键词：
dysphagia; eosinophilic esophagitis; esophageal intramural pseudodiverticulosis; esophageal stenosis; fluticasone; oral lavage;
D O I：
10.1016/j.dld.2007.04.011
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
We describe the first detailed case of eosinophilic esophagitis associated with esophageal intramural pseudodiverticulosis and gastroesophageal reflux disease in a 24-year-old man, who suffered from recurrent dysphagia since the age of 3 years. He presented with symptoms of dysphagia, food impaction and malnutrition. An esophagogram revealed a high-grade stenosis in the proximal part of the esophagus. Histological evaluation of esophageal mucosal biopsies demonstrated more than 20 eosinophil granulocytes per high power field, indicative of eosinophilic esophagitis. Additionally, esophago-gastro-duodenoscopy showed pseudodiverticulosis in the distal portion of the esophagus. A therapeutic regimen consisting of topical steroid intake, antihistamines, proton-pump-inhibition and specific food avoidance led to significant clinical improvement within 6 weeks. (C) 2007 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：700 / 706
页数：7
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