Eosiniophilic Esophagitis (EoE) is a relatively new disease which was first reported in 1978 but increasingly diagnosed in the last 15 years. Initially EoE was mainly described in children but later also recognized in adults. In infants it presents as a food refusal, failure to thrive and vomiting. In older children and adults symptoms include chest pain dysphagia, oesophageal food impaction and even strictures on endoscopy. The etiology of EoE is often food allergy. Diagnosis is made on biopsies from the oesophagus and by excluding other causes of eosophageal eosinophilia. It is treated by eliminating the offending food groups or using local corticosteroids. We describe different presentation of eosinophilic esophagitis in two children and discuss diagnosis and treatment. 

Key words: Eosinophilic Esophagitis, children, food impaction, intramural oesophagal pseudo-diverticulosis.

Correspondence: Lúther Sigurðsson, lsigurdsson@pediatrics.wisc.edu

Sigurdsson L1, AgnarssonU2,3, Axelsson AV3

¹University of Wisconsin School of Medicine and Public Health, Department of Pediatrics, ²Childrens Hospital, ³Landspítali National University Hospital in Reykjavík.

Figure 1 - Oesophagogram Radiolgy describes this to be consistent with intramural oesophagal pseudo-diverticulosis.

Figure 2 - Endoscopy of esophagus shows linear furrowing described in EoE.