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Case of the Week 426




What is the most likely diagnosis?

  • 14 year-old with history of asthma and intermittent dysphagia



Two images from Barium Esophagram

  1. Reflux esophagitis
  2. AIDS esophagitis
  3. Eosinophilic esophagitis
  4. Plummer-Vinson Syndrome
  5. Carcinoma of the esophagus

Additional Images - None

 

 

Additional Images

 

 

No additional images


Answer:

.


3. Eosinophilic Esophagitis

.

.

More (Click Discussion Tab)


Eosinophilic Esophagitis

General Considerations

  • Can occur at any age but has more often been reported in children
  • More common in males
  • Prevalence appears to be increasing
  • Often occurs in association with asthma, eczema, chronic rhinitis and family history of atopy
  • Believed secondary to contact sensitivity with mucosa
    • Cow's milk protein is most common but soy, egg and wheat have also been implicated
  • Biopsy shows marked (>15-20 eosinophils) eosinophilic infiltration of epithelium

MORE...


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.