University of Nebraska Medical Center and Children's Hospital and Medical Center Omaha, Omaha, Nebraska, USA.
Pediatr Allergy Immunol Pulmonol. 2024 Sep;37(3):81-83. doi: 10.1089/ped.2024.0019.
A 16-year-old Caucasian male with previously diagnosed eosinophilic esophagitis (EoE) 4 years before his initial visit to an allergist-immunologist, scheduled due to severe dysphagia and recurrent food impaction. He had been off EoE therapy for 1 year. After resuming inhaled fluticasone and a proton pump inhibitor (PPI), esophagogastroduodenoscopy (EGD) was immediately scheduled. The dates of the original EGD procedures with the histological summary and EoE therapy are reported in the Table 1. The fourth endoscopy revealed near normal histology, with rare candida staining (Table 1). He was continued on daily PPI and the fluticasone was discontinued. Three weeks of Fluconazole failed to resolve his dysphagia. A repeat barium swallow confirmed a pre-existing cricopharyngeal bar, and he was referred to an otolaryngology for further care. [Table: see text].
一位 16 岁的白人男性，在首次就诊过敏免疫科医生的 4 年前被诊断为嗜酸性食管炎（EoE），因严重吞咽困难和反复食物嵌塞而就诊。他已经停止 EoE 治疗 1 年。在恢复吸入氟替卡松和质子泵抑制剂（PPI）后，立即安排了食管胃十二指肠镜检查（EGD）。表 1 中报告了最初的 EGD 程序及其组织学总结和 EoE 治疗的日期。第四次内镜检查显示组织学接近正常，偶见念珠菌染色（表 1）。他继续每天服用 PPI，停用氟替卡松。氟康唑治疗 3 周未能缓解他的吞咽困难。重复的钡餐检查证实存在先天性环咽肌狭窄，他被转介到耳鼻喉科进一步治疗。[表：见正文]。
