Gnanasekaran T, Gnanasekaran S, Wood J M, Friedland P
MPhil Candidate, Department of Medicine, University of Sydney, Camperdown NSW, Australia.
Resident Medical Officer, Medical Education Unit, Royal Melbourne Hospital, Parkville VIC, Australia.
Br J Hosp Med (Lond). 2017 Jun 2;78(6):338-340. doi: 10.12968/hmed.2017.78.6.338.
Eosinophilic oesophagitis is a diagnosis that is being made more frequently in the assessment of dysphagia in both adults and children. It is unclear whether this is a result of increased prevalence or improved diagnostic methods. Children present commonly to paediatric institutions with foreign body impaction. Research indicates that food impaction may predispose to eosinophilic oesophagitis. This article presents eosinophilic oesophagitis from an otolaryngologist's point of view. It details the clinical features present in the disease as well as how it is diagnosed and managed. It illustrates early signs of eosinophilic oesophagitis so that primary physicians and emergency physicians know when to refer on to otolaryngologists.
嗜酸性粒细胞性食管炎是一种在成人和儿童吞咽困难评估中诊断越来越频繁的疾病。目前尚不清楚这是患病率增加还是诊断方法改进的结果。儿童常因异物嵌顿就诊于儿科机构。研究表明,食物嵌顿可能易患嗜酸性粒细胞性食管炎。本文从耳鼻喉科医生的角度介绍嗜酸性粒细胞性食管炎。它详细阐述了该疾病的临床特征以及诊断和管理方法。它说明了嗜酸性粒细胞性食管炎的早期症状,以便初级医生和急诊医生知道何时转诊给耳鼻喉科医生。