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Case reports
Distal oesophageal spasm secondary to eosinophilic oesophagitis in a child: response to diet therapy
  1. Syed Daniyal Ahsan1,
  2. Jochen Kammermeier2,
  3. Rakesh Vora2,
  4. Mohamed Mutalib2
  1. 1 Faculty of Life Sciences & Medicine, King's College London, London, UK
  2. 2 Paediatric Gastroenterology, Evelina London Children's Hospital, London, UK
  1. Correspondence to Dr Mohamed Mutalib, Evelina London Children's Hospital, London SE1 7EH, UK; mohamed.mutalib{at}


We report a case of a school-age child with symptomatic distal oesophageal spasm (DES), clinical dysphagia and typical feature in high-resolution oesophageal manometry secondary to eosinophilic oesophagitis (EoE). His symptoms resolved with normalisation of oesophageal manometry after standard treatment of EoE. DES is mainly an adult disorder and rarely affect children; to the best of our knowledge, this is the first reported case in a child that document full recovery after treating the underlying EoE.

  • oesophageal disease
  • paediatric gastroenterology

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  • Contributors SDA wrote the case. JK and RV reviewed the case report. MM chose the case, reviewed and supervised the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

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