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Frontline Gastroenterol 1:25-29 doi:10.1136/fg.2009.001057
  • Clinical quality

Clinical lesson: eosinophilic oesophagitis, a new diagnosis to swallow

  1. S E A Attwood4
  1. 1Department of Gastroenterology, Northumbria Healthcare NHS Foundation Trust, UK
  2. 2Department of Surgery, Northumbria Healthcare NHS Foundation Trust, UK
  3. 3Department of Histopathology, Northumbria Healthcare NHS Foundation Trust, UK
  4. 4Northumbria Healthcare NHS Foundation Trust, UK
  1. Correspondence to Dr C A Lamb, Northumbria Healthcare NHS Foundation Trust, North Tyneside Hospital, North Shields, UK; christopherlamb{at}doctors.org.uk

    Abstract

    Eosinophilic oesophagitis (EoE) is a recently described condition that has gained increasing recognition over the past 5 years. Despite this, many clinicians remain unaware of EoE, often leading to diagnostic delay and therefore significant morbidity. The diagnosis of EoE should be considered in any patient with a history of intermittent or continuous dysphagia, or oesophageal food impaction. It should be strongly suspected in young patients, particularly men, presenting with dysphagia and a history of atopy. Here, three patients are presented that highlight common features of EoE. In addition, a clinical review of the worldwide literature is provided to heighten physician awareness and understanding of the condition.

    Footnotes

    • Competing interests None.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent Obtained.