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Eosinophilic Esophagitis in Pediatric Patients

Posted Mon, Sep, 23,2013

Published today in Clinical Medicine Insights: Pediatrics is a new case report article by Mayra Isabel Correia Pinheiro, Luciano Pamplona de Góes Cavalcanti, Rodrigo Schuler Honório, Luís Hélder de Alencar Moreno, Mayara Carvalho Fortes and Carlos Antônio Bruno da Silva.  Read more about this paper below:

Title

Eosinophilic Esophagitis in Brazilian Pediatric Patients

Abstract

We examined 11 pediatric patients with eosinophilic esophagitis with a tardy diagnosis. The symptoms were initially thought to be related to other diseases, leading to the use of inadequate therapeutic approaches. The patients were between 3 and 17 years old (mean 7.8 ± 3.8 years), and 8 of the patients were male. Common symptoms included abdominal pain, regurgitation, difficulty in gaining weight, vomiting, dysphagia, and coughing. The mean age for the onset of symptoms was 4.3 ± 2.9 years. Endoscopic findings included normal mucosa in five (45%) patients, thickening of the mucosa with longitudinal grooves in three (27%), erosive esophagitis in two (18%), and a whitish stippling in one (9%) patient. Treatment included the use of a topical corticosteroid for 10 patients. In eight (73%) cases, the treatment made the symptoms disappear. Ten patients underwent histopathological management after treatment, with a decrease in the number of eosinophils.

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