engleski

A 17-year-old girl with eosinophilic esophagitis

Introduction: Eosinophilic esophagitis (EoE) is a chronic, immune/antigen-mediated esophageal disease. Findings of esophageal rings, linear furrows of mucosa, white exudates and narrowing of the caliber of the esophagus are suspected for EoE but not pathognomonic. The most common symptoms are vomiting, dysphagia, abdominal pain and food impaction. The diagnosis of EoE is based on histopathological findings (HF) of esophageal eosinophilia (Table 1). If the esophageal eosinophilia persists after 8 weeks of proton pump inhibitors (PPIs) therapy the diagnosis of EoE can be made. EoE is a gastrointestinal manifestation of food allergy but allergy testings are positive in only 15-43% of patients. Elimination diet (ED) is a primary therapeutic option (Table 2). Case report: A 17-year-old girl presented with epigastric pain and haematemesis. We performed esophagogastroduodenoscopy (EGD) and HF was indicative for EoE. The allergy testing was positive on dairy, peanuts, soybeans, rice, rye and wheat. 8 weeks of PPIs therapy was conducted. After the second EGD the EoE diagnosis was confirmed. The nutritionist gathered data about the girls' eating habits. An education about ED was performed and adequate diet was recommended in order to meet nutritional and energy needs for a girl of her age. Through further follow-up no weight loss and no nutritional deficit was registered. Conclusion: With this case report we wanted to show the importance of a multidisciplinary approach in pediatric patients with EoE in order to prevent the development of nutritional deficit and to ensure healthy adult life of this vulnerable population.

eosinophilic esophagitis, esophageal eosinophilia, food allergy, elimination diet, nutritionist

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