Eosinophilic Esophagitis

Which of the following is most accurate regarding eosinophilic esophagitis? A. Esophageal food impaction has been reported as an initial presentation of eosinophilic esophagitis B. Eosinophilic esophagitis is more common among women C. Fluoroscopic studies are required to confirm the diagnosis of eosinophilic esophagitis D. Leukotriene inhibitors are preferred to steroids in the initial treatment of eosinophilic esophagitis

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A.
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A. Eosinophilic esophagitis (EoE) is a chronic, allergic inflammatory disease of the esophagus . It occurs when a type of white blood cell, the eosinophil, accumulates in the esophagus. The elevated number of eosinophils cause injury and inflammation to the esophagus. It is an immune system/allergic reaction to foods or to substances in your environment, such as dust mites, animal dander, pollen, and molds. Certain genes may also play a role in EoE.
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A - is the most appropriate answer . As esophageal food impaction has been reported as an initial presentation of eosinophilic esophagitis
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A.food impaction as initial presentation
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A , Food impaction
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D IS THE ANSWER
Esophageal food impaction can be the initial presentation of PPI-responsive eosinophilic esophagitis. A study that compared the initial presenting symptoms of eosinophilic esophagitis reported that women more commonly presented with heartburn, whereas men more commonly presented with dysphagia and food impaction, although no endoscopic differences were noted between the sexes. Most patients with eosinophilic esophagitis are white men. In general, the clinical symptoms of eosinophilic esophagitis are nonspecific, and the patients are in good physical condition; therefore, in some cases, the diagnosis of eosinophilic esophagitis is made a few years after onset of symptoms.
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A
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