Department Case Study| Volume 31, ISSUE 5, P618-622, September 2017

Eosinophilic Esophagitis: A Case Study of a 12-Year-Old Boy


      Eosinophilic esophagitis is an underrecognized chronic condition in which symptoms of gastroesophageal reflux are accompanied by eosinophilia in the esophagus. This disorder affects both children and adults and is associated with a history of other atopic disorders, particularly food allergies. This case study discusses the epidemiology of eosinophilic esophagitis and the proper procedures for diagnosis, referral, and management using the dietary restrictions and pharmacologic treatment included in the clinical recommendations issued by the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition; the American Academy of Allergy, Asthma, and Immunology; and the American College of Gastroenterologists.

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      Katherine Kiely, Pediatric Nurse Practitioner Student, College of Nursing, University of Missouri-St. Louis, St. Louis, MO; and Registered Nurse, Ambulatory Care Center, SSM Health Cardinal Glennon Children's Hospital, St. Louis, MO.