Allergy Specialists NYC | Eosinophilic Esophagitis

Eosinophilic Esophagitis

Eosinophilic esophagitis (EoE) is a newly identified allergic inflammatory disease characterized by a large number of white blood cells called eosinophils that cause inflammation in the lining of the esophagus (the tube that connects the mouth and stomach). Clinical and genetic research is ongoing. EoE is increasingly diagnosed in children and adults. It is recognized as a rare disease seen with increasing prevalence estimated to be 1:2000. Although, more common in men, it is seen in both men and women, our practice we see adults.

Our practice, Allergy & Asthma Care of New York, is on the forefront of treating this newly recognized condition that is on the rise.

EoE most commonly associated in people with other allergic diseases such as environmental allergies,allergic rhinitis (hayfever), asthma, food allergies,and/or eczema.

Symptoms:

  • Reflux not improved by low acid diet + acid blocking medications
  • Difficulty swallowing
  • Food impactions (food gets stuck in throat/esophagus)
  • Chest tightness/pain
  • Feeding refusal and secondary inability to gain weight

Diagnosis:

The only way to definitively diagnose EoE is through endoscopy with biopsies, performed by a gastroenterologist. The endoscopy is often performed after treatment with reflux medications and a low acid diet, have failed to relieve symptoms. The endoscopy is used to identify eosinophils from biopsy of the esophagus under a microscope. At this time the agreed upon number of eosinophils (>15 per high power field under the microsope) suggests a diagnosis of EoE.

Once confirmed, allergy testing (skin prick) is helpful in identifying offending food allergens that can be removed from the diet.

Treatment:

Your Gastroenterologist and Allergist will collaborate and formulate an individually tailored treatment strategy. At present, the main treatments recommended are dietary management, proton pump inhibitor medication and swallowed topical corticosteroids to control inflammation and suppress the eosinophils.

How We Can Help:

The diagnosis and treatment of eosinophilic esophagitis requires a multidisciplinary team approach involving gastroenterologists, allergists and nutritionists. This a newly identified disease, diagnosis and treatment are continually evolving.

For more information please visit: www.APFED.org

Allergy & Asthma Care of New York accepts most major insurance plans.

If you have any questions for the NYC allergists or would like to schedule a consultation with the allergists please feel free to contact Allergy & Asthma Care of New York (212) 964-1295 or (212) 759-8644 and indicate which NYC office (Financial District, Gramercy, Midtown) you would like to be seen.