A case of eosinophilic esophagitis with atypical clinical course

Tamagawa, Yuji; Miyake, Tatsuya; Mishiro, Tsuyoshi; Ohara, Shunji; Furuta, K.; Kazumori, Hideaki; Ishihara, Shunji; Amano, Yuji; Kinoshita, Yoshikazu

doi:10.1007/s12328-011-0225-x

Cited by 4 publications

(2 citation statements)

References 22 publications

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“…In Japan, the first EoE case was reported by Furuta et al . in 2006, and since then the cases have been reported increasingly . Likewise, the number of case reports regarding EoE in other Asian countries has been gradually increasing from 2009 .…”

Section: Epidemiologymentioning

confidence: 99%

“…[23][24][25] In Japan, the first EoE case was reported by Furuta et al 7 in 2006, and since then the cases have been reported increasingly. 26,27 Likewise, the number of case reports regarding EoE in other Asian countries has been gradually increasing from 2009. 8,10,11,13 To date, nine epidemiological studies have been conducted in Asian countries ( Table 1).…”

Section: Epidemiologymentioning

confidence: 99%

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Clinical features of eosinophilic esophagitis: Differences between Asian and Western populations

Ishimura

Shimura

Jiao

et al. 2015

J of Gastro and Hepatol

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The prevalence and incidence of eosinophilic esophagitis (EoE) have been rapidly increasing in Western countries. It is thought to be more common among Caucasians than other racial or ethnic groups, but epidemiological studies have not been fully evaluated in Asian populations, and its clinical manifestation is rarely documented. In this review, recent reports regarding EoE in Asian countries have been collected, and differences in the clinical features, including symptoms and endoscopic findings, between Asian and Western populations have been evaluated. In Asia, EoE is still much less prevalent than in Western countries. Baseline values for average age, male/female ratio, and personal history of allergic disease were comparable to those in Western populations. Predominant symptoms were dysphagia, and food impaction was extremely rare among Asian patients. Although the frequency of abnormal endoscopic findings varies among studies, over 90% of patients with EoE have shown abnormal findings such as linear furrow, which is the most common findings, in recent prospective studies in Asia. There are few reports regarding the treatment of EoE and no prospective studies evaluating drugs or elimination diet in patient with EoE have been reported in Asia. Overall, EoE had similar clinical characteristics in Asian populations. Because the incidence of EoE could increase in the future with the increase in allergic disorders in Asian countries, large-scale, nationwide prospective studies should be performed to more fully understand the epidemiology and pathophysiology of EoE in Asian populations.

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Section: Epidemiologymentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

Clinical features of eosinophilic esophagitis: Differences between Asian and Western populations

Ishimura

Shimura

Jiao

et al. 2015

J of Gastro and Hepatol

Self Cite

View full text Add to dashboard Cite

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Symptom-based diagnostic approach for eosinophilic esophagitis

Fujiwara

2020

J Gastroenterol

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The prevalence of eosinophilic esophagitis (EoE) has been increasing in Japan. Although the diagnosis of EoE is based on simple criteria that include the presence of esophageal symptoms and esophageal eosinophilia on biopsies, there are several important issues associated with the diagnostic approach. Following an extensive literature search, the symptoms of 886 EoE cases in Japanese adults were analyzed and divided into three categories as follows: (1) typical symptoms, such as dysphagia (53%); (2) other upper GI symptoms (40%); and (3) no symptoms found during screening or medical examination, i.e., ''asymptomatic esophageal eosinophilia'' (19%). The diagnostic approach was reviewed according to these categories as well as according to the presence or absence of esophageal eosinophilia. The present manuscript describes the current therapeutic strategy of EoE and ultimately proposes a symptom-based diagnostic approach for EoE. Keywords Eosinophilic esophagitis Á Esophageal eosinophilia Á Dysphagia Prevalence of symptom variations Clinical studies and case reports of EoE in Japanese adults were identified by searching PubMed, Ichushi, Shoreikun, and UMIN in February 2020. Relevant articles were identified using terms ''Japanese'' or ''Japan'' and ''eosinophilic esophagitis'' or ''esophageal eosinophilia''. Articles and abstracts of pediatric cases as well as basic studies using animals or cell lines were excluded. Clinical studies & Yasuhiro Fujiwara

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