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Eosinophilic oesophagitis (Clinical presentation (Vomiting, Painful…
Eosinophilic
oesophagitis
Definition
Inflammatory disorder of
the oesophagus
Epidemiology
Children
Uncommon
Clinical
presentation
Vomiting
Painful swallowing
Food getting stuck
(bolus dysphagia)
Diagnosis
Examination
ENT
Often nil
Abdo exam
Nil
Investigations
Bloods
FBC, U+E, LFT,
CRP/ESR
Imaging
Endoscopy (linear furrows,
trachealization, eosinophilic infiltration
Bedside
Obs (nil)
History
DM
Meds, allergies
FH
Atopy, eosinophilic
oesophagitis
PMH
Growth and development
Vaccinations
Known conditions e.g. atopy
SH
Living arrangements,
nursery/school
PC/HPC
Vomiting, painful swallow,
bolus dysphasia, no red flags
Management
Conservative
Information, advice, support
Exclusion diets
Medical
Steroids
Indication: 1L
E.g. PO fluticasone, budesonide
MOA: reduces inflammation
Pathophysiology
Mechanism
Activation of eosinophils
in mucosa and submucosa
causing inflammation
Defect
Unclear, likely atopic
Risk factors
Atopy