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Clinical Features and Endoscopic Characteristics

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Eosinophilic esophagitis (EOE) is increasing in prevalence and often seasonal with spikes during typically airborne allergy season. It presents with dysphagia to solids, classically with pills sticking. Other atopic symptoms are common. At endoscopy, the esophagus has white punctate spots (eosinophilic microabscess), rings, longitudinal furrows (Figure 2.12), and desquamates easily with insufflation or dilation. In late stages, the esophagus may be very narrowed and poorly distensible.

Gastrointestinal Pathology

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