Six Cases of Eosinophilic Esophagitis

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  • 好酸球性食道炎の6例
  • 症例報告 好酸球性食道炎の6例
  • ショウレイ ホウコク コウサンキュウセイ ショクドウエン ノ 6レイ

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Objective: To investigate the clinicopathological features of 6 patients who were diagnosed as eosinophilic esophagitis (EoE) in our clinic<br>Methods: From October 2012 to February 2014, 6 patients who were definitively diagnosed as EoE with endoscopic biopsies of the esophagus (more than 20 eosinocytes/HPF) in our clinic were analyzed retrospectively.<br>Results: All the patients were men, with a median age of 38.5 (range 25-47) years old. Two patients visited our clinic complaining of dysphagia. Four patients underwent endoscopy and were coincidentally diagnosed as EoE during a health check-up. Three of the 4 patients were asymptomatic while one had slight dysphagia. Endoscopic examination revealed furrows and fixed rings in all patients, while exudates were observed in 2 patients. Three patients who had allergic disease (allergy to buckwheat, prawns, and crustaceans) were treated with dietary elimination. One patient was treated with topical steroid therapy (fluticasone). In one patient who had dietary elimination therapy, endoscopic and histopathologic findings disappeared after two months.<br>Conclusion: When the patients without any symptoms during a health check-up have endoscopic features, such as furrows, rings, or exudates, multiple esophageal mucosal biopsies should be obtained for diagnosis of EoE.

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