Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Pediatric Gastroenterology


Answer 4
  1. EE. EE is an inflammatory disorder that involves an eosinophilic infiltrate in the esophagus. This condition is associated with atopic illnesses, such as asthma, and may represent an allergic process. On esophageal biopsies, patients have more than 20 eosinophils per high power field. Food impaction and dysphagia are common in these patients, and endoscopy can reveal a ringed esophagus, patchy white exudates, and strictures or can be normal. Treatment of EE involves oral or inhaled corticosteroids, and most patients respond to therapy. A Shatzki ring, if present, would be easily detected on endoscopy. Nutcracker esophagus is a disorder of esophageal motility and is rarely seen in pediatric patients. GERD is not associated with food impactions without associated peptic strictures. Behavior disorders can be seen in patients with EE, but this would not explain recurrent food impaction.

    Click here to return to the questions

 


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj