Allergic oesphagitis Flashcards
1
Q
What is allergic oesophagitis?
A
Eosinophillic oesophagitis
2
Q
Who gets it?
A
Personal/family history of allergy Asthma Young Males over females Caucasian
3
Q
How does it present?
A
Corrugated (spotty) oesophagus
Long history of dysphagia, food impaction, heartburn and oesophageal pain
4
Q
How is it diagnosed?
A
- pH probe negative for reflux
- Increased eosinophils in blood
- Endoscope abnormalities (mucosal furrowing, loss of vascular pattern due to thickened mucosa)
- Endoscopic forceps biopsies should be taken throughout the oesophagus for histology and eosinophillic number calculated
5
Q
How is allergic oesophagitis treated?
A
Topical steroids Systemic steroids Empirical Elimination Chromoglycate Montelukast
