A multidisciplinary approach to eosinophilic esophagitis presenting with feeding dysfunction.
Overview
abstract
Eosinophilic Esophagitis (EoE) is a chronic, immune-mediated disorder characterized by eosinophilic infiltration of the esophageal mucosa. EoE presents a clinical challenge as the underlying esophageal dysfunction results in diverse symptomatology, ranging from feeding difficulties and failure to thrive in infants to dysphagia and food impaction in older children. The treatment and long-term management of EoE involves a multidisciplinary approach that may include topical glucocorticosteroids, diet therapy and other evolving pharmacotherapies. We present a case of a 12-month-old previously healthy female with a 3-week history of illness followed by an acute presentation of feeding intolerance and hypersensitivity reactions who was subsequently diagnosed with EoE.