In recent years, EoE has emerged as a condition encountered more frequently by allergy and gastroenterology specialists. In patients with EoE, GI symptoms occur in association with an eosinophil-rich infiltrate in the esophagus, gastric or colon mucosa. The etiology, and natural history of EoE are not well understood. It appears to be an allergic reaction/immunology process associated with certain food components.
“Irritable Bowel Syndrome” (IBS) patients may fall into this spectrum as well. The majority of EoE patients have other atopic diseases such as allergic rhinitis and asthma. The work up process for EoE includes food scratch and patch tests. Once we finish the evaluation, an elimination or elemental diet will be implemented and patients will be reassessed in 3 to 6 months.
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