Læknablaðið - 15.12.2013, Blaðsíða 28

SJÚKRATILFELLI
ENGLISH SUMMARY
Eosinophilic esophagitis in children. Two case reports
Sigurdsson L', Agnarsson U23, Axelsson AV3
Eosiniophilic Esophagitis (EoE) is a relatively new disease which was first
reported in 1978 but increasingly diagnosed in the last 15 years. Initially
EoE was mainly described in children but later also recognized in adults.
In infants it presents as a food refusal, failure to thrive and vomiting.
In older children and adults symptoms include chest pain dysphagia,
oesophageal food impaction and even strictures on endoscopy. The
etiology of EoE is often food allergy. Diagnosis is made on biopsies from
the oesophagus and by excluding other causes of eosophageal eosinop-
hilia. It is treated by eliminating the offending food groups or using local
corticosteroids. We describe different presentation of eosinophilic esop-
hagitis in two children and discuss diagnosis and treatment.
Key words: Eosinophilic Esophagitis, children, food impaction, intramural oesophagal pseudo-diverticulosis.
Correspondence: Lúther Sigurðsson, lsigurdsson@pediatrics.wisc.edu
’University of Wisconsin School of Medicine and Public Health, Department of Pediatrics, 2Childrens Hospital, 3Landspítali National University Hospital in Reykjavik.
576 LÆKNAblaðið 2013/99