1. Case
21-year-old male comes into Student Health in July complaining of difficulty swallowing, solids>liquids, for 2 years. It bothers him less during the winter months. When he came in complaining this spring you put him on high dose PPI without relief. Otherwise he is a healthy young man with a history of seasonal allergic rhinitis for which he takes Claritin PRN.

2. Eosinophilic Esophagitis: What is it. What causes it
Eosinophilic Esophagitis: What is it? What causes it? Why is incidence increasing?

3. L: R:

4. http://www. nature. com/modpathol/journal/v19/n1/fig_tab/3800498f3

5. Prevalence in patients with dysphagia (Kapel et al.)

6. Sies H. A new parameter for sex education. Nature 1988;332:495.

7. Blanchard et al

9. Management Elimination diet Elemental diet Topical Steroids
Systemic steroids

10. References
Kapel, et al. Eosinophilic esophagitis: a prevalent disease in the United States that affects all age groups. Gastroenterol 2008; 134:
Blanchard C, Rothenberg ME. Basic pathogenesis of eosinophilic esophagitis. Gastrointest Endosc Clin N Am 2008;18:
Sies H. A new parameter for sex education. Nature 1988;332:495.
Yan BM, Shaffer EA. Eosinophilic esophagitis: a newly established cause of dysphagia. World J Gastroenterol 2006;12:
Bonis PA, Frututa GT. Eosinophilic esophagitis. Up To Date Accessed at