Eosinophilic esophagitis in a patient with vigorous achalasia

Radiographic abnormalities in eosinophilic esophagitis

“…Involvement of the colon and esophagus is rare and eosinophilic disease of the esophagus has only been described within the last decade. The findings from 4 previous reports of eosinophilic esophagitis along with our 3 present cases are summarized in Table 1 [5][6][7][8]. Dobbins, in 1977, was the first to describe esophageal disease, which mainly involved motor disturbances.…”

“…On rare occasions, the eosinophilic infiltrate may involve the esophageal wall, usually producing symptoms of dysphagia. In the few previous reports, the main abnormality appears to be either a motor disorder or esophageal stricture [5][6][7][8]. We have seen 3 patients with eosinophilic esophagitis over the past 3 years.…”

“…Dobbins, in 1977, was the first to describe esophageal disease, which mainly involved motor disturbances. Similarly, the second clinical report, by Landres in 1978, showed a severe motor disorder compatible with a vigorous achalasia [6]. The first radiographic description of the entity was by Picus and Frank in 1981 and demonstrated a high esophageal stricture [7].…”

“…In reviewing the previous cases, it is apparent that even if adequate steroid therapy is given, the strictures of the esophagus do not necessarily resolve and mechanical dilatation may be necessary [7,8]. It is interesting to note that the patient described by Landres who presented with achalasia also required myotomy [6]. The stricturing and motor disturbances reflect an infiltration of the deeper layers of the wall of the esophagus.…”

Eine impaktierte „Wiener Semmel“ im Ösophagus – Erstmanifestation einer eosinophilen Ösophagitis bei einem 17-jährigen Patienten

“…Die Inzidenz von 1,4/10 5 /Jahr stieg in den letzten Jahren kontinuierlich an [4,8]. Die ersten Fälle dieser Erkrankung wurden vor etwa 30 Jahren diagnostiziert [9]. Bislang gibt es keine Hinweise auf eine geographische Häufung.…”