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  • Title: Eosinophilic esophagitis: an overlooked entity in chronic dysphagia.
    Author: Yan BM, Shaffer EA.
    Journal: Nat Clin Pract Gastroenterol Hepatol; 2006 May; 3(5):285-9; quiz 1 p following 293. PubMed ID: 16673008.
    Abstract:
    BACKGROUND: A 40-year-old white male with atopy presented to our department in March 2004 with a history of chronic heartburn and solid-food dysphagia since 1994. The patient was taking on-demand salbutamol for asthma and ranitidine for mild heartburn, occurring less than once per week. Eight years previously, he had undergone esophageal dilatation for a Schatzki's ring. INVESTIGATIONS: Physical examination, laboratory investigations, video esophagram, upper endoscopy with mid-esophageal biopsies, and skin testing for a number of food and environmental allergens. Diagnosis Eosinophilic esophagitis. MANAGEMENT: Topical steroids with a fluticasone 220 microg multiple-dose inhaler, four puffs swallowed twice a day for 6 weeks.
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