Gastroenterology

	Answer 1 Eosinophilic esophagitis. Eosinophilic esophagitis commonly presents with recurrent dysphagia, often with food impactions. Many patients have a history of prior or concurrent asthma, food allergies, or eczema. Endoscopic findings may include a ringed esophagus, vertical furrows, small white plaques, and friable mucosa; however, some patients have a normal-appearing esophagus. In achalasia, endoscopy would demonstrate a dilated esophagus with a tight lower esophageal sphincter. Scleroderma would present with a pipe-like esophagus and severe erosive esophagitis. Large, raised, yellow-white plaques would be evident on endoscopy if the patient had esophageal candidiasis. Schatzki’s rings can cause solid food dysphagia but rarely produce food impaction. Click here to return to the questions
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