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Eosinophilic esophagitis(EE)

MedGen UID:
83318
Concept ID:
C0341106
Disease or Syndrome
Synonyms: Chronic Esophagitides, Eosinophilic; Chronic Esophagitis, Eosinophilic; Eosinophilic Chronic Esophagitides; Eosinophilic Chronic Esophagitis; Eosinophilic Esophagitides; Eosinophilic Esophagitis; Esophagitides, Eosinophilic; Esophagitides, Eosinophilic Chronic; Esophagitis, Eosinophilic; Esophagitis, Eosinophilic Chronic
SNOMED CT: Eosinophilic esophagitis (235599003)
 
Monarch Initiative: MONDO:0005361
OMIM®: 610247
Orphanet: ORPHA73247

Definition

Allergic inflammation of the esophagus. Morphologically, it is characterized by the presence of eosinophils infiltrating the esophageal epithelium. Patients present with swallowing difficulty and heartburn. [from NCI]

Professional guidelines

PubMed

Wise SK, Damask C, Roland LT, Ebert C, Levy JM, Lin S, Luong A, Rodriguez K, Sedaghat AR, Toskala E, Villwock J, Abdullah B, Akdis C, Alt JA, Ansotegui IJ, Azar A, Baroody F, Benninger MS, Bernstein J, Brook C, Campbell R, Casale T, Chaaban MR, Chew FT, Chambliss J, Cianferoni A, Custovic A, Davis EM, DelGaudio JM, Ellis AK, Flanagan C, Fokkens WJ, Franzese C, Greenhawt M, Gill A, Halderman A, Hohlfeld JM, Incorvaia C, Joe SA, Joshi S, Kuruvilla ME, Kim J, Klein AM, Krouse HJ, Kuan EC, Lang D, Larenas-Linnemann D, Laury AM, Lechner M, Lee SE, Lee VS, Loftus P, Marcus S, Marzouk H, Mattos J, McCoul E, Melen E, Mims JW, Mullol J, Nayak JV, Oppenheimer J, Orlandi RR, Phillips K, Platt M, Ramanathan M Jr, Raymond M, Rhee CS, Reitsma S, Ryan M, Sastre J, Schlosser RJ, Schuman TA, Shaker MS, Sheikh A, Smith KA, Soyka MB, Takashima M, Tang M, Tantilipikorn P, Taw MB, Tversky J, Tyler MA, Veling MC, Wallace D, Wang Y, White A, Zhang L
Int Forum Allergy Rhinol 2023 Apr;13(4):293-859. Epub 2023 Mar 6 doi: 10.1002/alr.23090. PMID: 36878860
Wilkinson JM, Codipilly DC, Wilfahrt RP
Am Fam Physician 2021 Jan 15;103(2):97-106. PMID: 33448766
Gonsalves NP, Aceves SS
J Allergy Clin Immunol 2020 Jan;145(1):1-7. doi: 10.1016/j.jaci.2019.11.011. PMID: 31910983Free PMC Article

Recent clinical studies

Etiology

de Bortoli N, Visaggi P, Penagini R, Annibale B, Baiano Svizzero F, Barbara G, Bartolo O, Battaglia E, Di Sabatino A, De Angelis P, Docimo L, Frazzoni M, Furnari M, Iori A, Iovino P, Lenti MV, Marabotto E, Marasco G, Mauro A, Oliva S, Pellegatta G, Pesce M, Privitera AC, Puxeddu I, Racca F, Ribolsi M, Ridolo E, Russo S, Sarnelli G, Tolone S, Zentilin P, Zingone F, Barberio B, Ghisa M, Savarino EV
Dig Liver Dis 2024 Jul;56(7):1173-1184. Epub 2024 Mar 22 doi: 10.1016/j.dld.2024.02.020. PMID: 38521670
Mayerhofer C, Kavallar AM, Aldrian D, Lindner AK, Müller T, Vogel GF
Clin Gastroenterol Hepatol 2023 Aug;21(9):2197-2210.e3. Epub 2023 Jan 31 doi: 10.1016/j.cgh.2023.01.019. PMID: 36731591
Barni S, Arasi S, Mastrorilli C, Pecoraro L, Giovannini M, Mori F, Liotti L, Saretta F, Castagnoli R, Caminiti L, Cianferoni A, Novembre E
Ital J Pediatr 2021 Nov 22;47(1):230. doi: 10.1186/s13052-021-01178-2. PMID: 34809686Free PMC Article
Watts MM, Saltoun C, Greenberger PA
Allergy Asthma Proc 2019 Nov 1;40(6):462-464. doi: 10.2500/aap.2019.40.4272. PMID: 31690395
Gonsalves N
Clin Rev Allergy Immunol 2019 Oct;57(2):272-285. doi: 10.1007/s12016-019-08732-1. PMID: 30903439

Diagnosis

Alkhowaiter S
Saudi Med J 2023 Jul;44(7):640-646. doi: 10.15537/smj.2023.44.7.20220812. PMID: 37463709Free PMC Article
Uchida AM, Burk CM, Rothenberg ME, Furuta GT, Spergel JM
J Allergy Clin Immunol Pract 2023 Sep;11(9):2654-2663. Epub 2023 Jun 28 doi: 10.1016/j.jaip.2023.06.035. PMID: 37391018Free PMC Article
Lehman HK, Lam W
Immunol Allergy Clin North Am 2021 Nov;41(4):587-598. doi: 10.1016/j.iac.2021.07.011. PMID: 34602230
Gonsalves NP, Aceves SS
J Allergy Clin Immunol 2020 Jan;145(1):1-7. doi: 10.1016/j.jaci.2019.11.011. PMID: 31910983Free PMC Article
Furuta GT, Katzka DA
N Engl J Med 2015 Oct 22;373(17):1640-8. doi: 10.1056/NEJMra1502863. PMID: 26488694Free PMC Article

Therapy

Dellon ES, Rothenberg ME, Collins MH, Hirano I, Chehade M, Bredenoord AJ, Lucendo AJ, Spergel JM, Aceves S, Sun X, Kosloski MP, Kamal MA, Hamilton JD, Beazley B, McCann E, Patel K, Mannent LP, Laws E, Akinlade B, Amin N, Lim WK, Wipperman MF, Ruddy M, Patel N, Weinreich DR, Yancopoulos GD, Shumel B, Maloney J, Giannelou A, Shabbir A
N Engl J Med 2022 Dec 22;387(25):2317-2330. doi: 10.1056/NEJMoa2205982. PMID: 36546624
Muir A, Falk GW
JAMA 2021 Oct 5;326(13):1310-1318. doi: 10.1001/jama.2021.14920. PMID: 34609446Free PMC Article
Gonsalves NP, Aceves SS
J Allergy Clin Immunol 2020 Jan;145(1):1-7. doi: 10.1016/j.jaci.2019.11.011. PMID: 31910983Free PMC Article
Gonsalves N
Clin Rev Allergy Immunol 2019 Oct;57(2):272-285. doi: 10.1007/s12016-019-08732-1. PMID: 30903439
Furuta GT, Katzka DA
N Engl J Med 2015 Oct 22;373(17):1640-8. doi: 10.1056/NEJMra1502863. PMID: 26488694Free PMC Article

Prognosis

Hahn JW, Lee K, Shin JI, Cho SH, Turner S, Shin JU, Yeniova AÖ, Koyanagi A, Jacob L, Smith L, Fond G, Boyer L, Lee SW, Kwon R, Kim S, Shin YH, Rhee SY, Moon JS, Ko JS, Yon DK, Papadopoulos NG
Clin Gastroenterol Hepatol 2023 Dec;21(13):3270-3284.e77. Epub 2023 Jun 17 doi: 10.1016/j.cgh.2023.06.005. PMID: 37331411
Dellon ES, Khoury P, Muir AB, Liacouras CA, Safroneeva E, Atkins D, Collins MH, Gonsalves N, Falk GW, Spergel JM, Hirano I, Chehade M, Schoepfer AM, Menard-Katcher C, Katzka DA, Bonis PA, Bredenoord AJ, Geng B, Jensen ET, Pesek RD, Feuerstadt P, Gupta SK, Lucendo AJ, Genta RM, Hiremath G, McGowan EC, Moawad FJ, Peterson KA, Rothenberg ME, Straumann A, Furuta GT, Aceves SS
Gastroenterology 2022 Jul;163(1):59-76. Epub 2022 May 20 doi: 10.1053/j.gastro.2022.03.025. PMID: 35606197Free PMC Article
Akinlade B, Guttman-Yassky E, de Bruin-Weller M, Simpson EL, Blauvelt A, Cork MJ, Prens E, Asbell P, Akpek E, Corren J, Bachert C, Hirano I, Weyne J, Korotzer A, Chen Z, Hultsch T, Zhu X, Davis JD, Mannent L, Hamilton JD, Teper A, Staudinger H, Rizova E, Pirozzi G, Graham NMH, Shumel B, Ardeleanu M, Wollenberg A
Br J Dermatol 2019 Sep;181(3):459-473. Epub 2019 May 7 doi: 10.1111/bjd.17869. PMID: 30851191Free PMC Article
Dellon ES, Liacouras CA, Molina-Infante J, Furuta GT, Spergel JM, Zevit N, Spechler SJ, Attwood SE, Straumann A, Aceves SS, Alexander JA, Atkins D, Arva NC, Blanchard C, Bonis PA, Book WM, Capocelli KE, Chehade M, Cheng E, Collins MH, Davis CM, Dias JA, Di Lorenzo C, Dohil R, Dupont C, Falk GW, Ferreira CT, Fox A, Gonsalves NP, Gupta SK, Katzka DA, Kinoshita Y, Menard-Katcher C, Kodroff E, Metz DC, Miehlke S, Muir AB, Mukkada VA, Murch S, Nurko S, Ohtsuka Y, Orel R, Papadopoulou A, Peterson KA, Philpott H, Putnam PE, Richter JE, Rosen R, Rothenberg ME, Schoepfer A, Scott MM, Shah N, Sheikh J, Souza RF, Strobel MJ, Talley NJ, Vaezi MF, Vandenplas Y, Vieira MC, Walker MM, Wechsler JB, Wershil BK, Wen T, Yang GY, Hirano I, Bredenoord AJ
Gastroenterology 2018 Oct;155(4):1022-1033.e10. Epub 2018 Sep 6 doi: 10.1053/j.gastro.2018.07.009. PMID: 30009819Free PMC Article
Dellon ES, Hirano I
Gastroenterology 2018 Jan;154(2):319-332.e3. Epub 2017 Aug 1 doi: 10.1053/j.gastro.2017.06.067. PMID: 28774845Free PMC Article

Clinical prediction guides

Dellon ES, Rothenberg ME, Collins MH, Hirano I, Chehade M, Bredenoord AJ, Lucendo AJ, Spergel JM, Aceves S, Sun X, Kosloski MP, Kamal MA, Hamilton JD, Beazley B, McCann E, Patel K, Mannent LP, Laws E, Akinlade B, Amin N, Lim WK, Wipperman MF, Ruddy M, Patel N, Weinreich DR, Yancopoulos GD, Shumel B, Maloney J, Giannelou A, Shabbir A
N Engl J Med 2022 Dec 22;387(25):2317-2330. doi: 10.1056/NEJMoa2205982. PMID: 36546624
Dellon ES, Khoury P, Muir AB, Liacouras CA, Safroneeva E, Atkins D, Collins MH, Gonsalves N, Falk GW, Spergel JM, Hirano I, Chehade M, Schoepfer AM, Menard-Katcher C, Katzka DA, Bonis PA, Bredenoord AJ, Geng B, Jensen ET, Pesek RD, Feuerstadt P, Gupta SK, Lucendo AJ, Genta RM, Hiremath G, McGowan EC, Moawad FJ, Peterson KA, Rothenberg ME, Straumann A, Furuta GT, Aceves SS
Gastroenterology 2022 Jul;163(1):59-76. Epub 2022 May 20 doi: 10.1053/j.gastro.2022.03.025. PMID: 35606197Free PMC Article
Pittman ME
Am J Surg Pathol 2022 Jan 1;46(1):e55-e63. doi: 10.1097/PAS.0000000000001667. PMID: 33481383
Karpathiou G, Papoudou-Bai A, Ferrand E, Dumollard JM, Peoc'h M
Pathol Res Pract 2021 Jul;223:153477. Epub 2021 May 11 doi: 10.1016/j.prp.2021.153477. PMID: 33991851
Dellon ES, Liacouras CA, Molina-Infante J, Furuta GT, Spergel JM, Zevit N, Spechler SJ, Attwood SE, Straumann A, Aceves SS, Alexander JA, Atkins D, Arva NC, Blanchard C, Bonis PA, Book WM, Capocelli KE, Chehade M, Cheng E, Collins MH, Davis CM, Dias JA, Di Lorenzo C, Dohil R, Dupont C, Falk GW, Ferreira CT, Fox A, Gonsalves NP, Gupta SK, Katzka DA, Kinoshita Y, Menard-Katcher C, Kodroff E, Metz DC, Miehlke S, Muir AB, Mukkada VA, Murch S, Nurko S, Ohtsuka Y, Orel R, Papadopoulou A, Peterson KA, Philpott H, Putnam PE, Richter JE, Rosen R, Rothenberg ME, Schoepfer A, Scott MM, Shah N, Sheikh J, Souza RF, Strobel MJ, Talley NJ, Vaezi MF, Vandenplas Y, Vieira MC, Walker MM, Wechsler JB, Wershil BK, Wen T, Yang GY, Hirano I, Bredenoord AJ
Gastroenterology 2018 Oct;155(4):1022-1033.e10. Epub 2018 Sep 6 doi: 10.1053/j.gastro.2018.07.009. PMID: 30009819Free PMC Article

Recent systematic reviews

Franciosi JP, Gordon M, Sinopoulou V, Dellon ES, Gupta SK, Reed CC, Gutiérrez-Junquera C, Venkatesh RD, Erwin EA, Egiz A, Elleithy A, Mougey EB
Cochrane Database Syst Rev 2023 Jul 20;7(7):CD004065. doi: 10.1002/14651858.CD004065.pub4. PMID: 37470293Free PMC Article
Hahn JW, Lee K, Shin JI, Cho SH, Turner S, Shin JU, Yeniova AÖ, Koyanagi A, Jacob L, Smith L, Fond G, Boyer L, Lee SW, Kwon R, Kim S, Shin YH, Rhee SY, Moon JS, Ko JS, Yon DK, Papadopoulos NG
Clin Gastroenterol Hepatol 2023 Dec;21(13):3270-3284.e77. Epub 2023 Jun 17 doi: 10.1016/j.cgh.2023.06.005. PMID: 37331411
Mayerhofer C, Kavallar AM, Aldrian D, Lindner AK, Müller T, Vogel GF
Clin Gastroenterol Hepatol 2023 Aug;21(9):2197-2210.e3. Epub 2023 Jan 31 doi: 10.1016/j.cgh.2023.01.019. PMID: 36731591
Visaggi P, Ghisa M, Barberio B, Maniero D, Greco E, Savarino V, Black CJ, Ford AC, de Bortoli N, Savarino E
Dig Liver Dis 2023 Feb;55(2):208-222. Epub 2022 May 30 doi: 10.1016/j.dld.2022.05.004. PMID: 35654734
Dhar A, Haboubi HN, Attwood SE, Auth MKH, Dunn JM, Sweis R, Morris D, Epstein J, Novelli MR, Hunter H, Cordell A, Hall S, Hayat JO, Kapur K, Moore AR, Read C, Sami SS, Turner PJ, Trudgill NJ
Gut 2022 Aug;71(8):1459-1487. Epub 2022 May 23 doi: 10.1136/gutjnl-2022-327326. PMID: 35606089Free PMC Article

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