Esophagitis is the first cause of dysphagia and food impaction in a young male adult. Eosinophilic esophagitis is a clinical and pathological entity with involvement limited to the oesophagus. Eosinophilic esophagitis is associated with allergy and atopy. Most common in Caucasians, with 3:1 male predominance. Endoscopic findings are unspecific. Clinical and histological diagnosis has to be confirmed by unresponsiveness to proton pump inhibitor. Recommended first therapeutic approach: topical corticoids.
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