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Updated: May 21, 2026

Three-Dimensional Cell Culture Models to Investigate the Epithelial Barrier in Eosinophilic Esophagitis
Published on: May 10, 2024
[Eosinophilic esophagitis: clinical expression at pediatric age]
Ana Luísa Rodrigues1, Ana Maria Palha, Ana Isabel Lopes
1Serviço de Pneumologia, Hospitais da Universidade de Coimbra, Coimbra, Portugal.
Eosinophilic esophagitis (EoE) is a chronic allergic inflammatory disease affecting the esophagus in children and adults. Diagnosis requires biopsies showing high eosinophil counts, and treatment involves dietary changes and swallowed steroids.
Area of Science:
- Gastroenterology
- Immunology
- Allergy
Background:
- Eosinophilic esophagitis (EoE) is an emerging chronic esophageal inflammatory disease.
- It affects both children and adults, presenting with varied symptoms across age groups.
Observation:
- Pediatric symptoms include feeding disorders, vomiting, and abdominal pain.
- Adolescent and adult symptoms typically involve dysphagia and esophageal food impaction.
Findings:
- The exact cause of EoE is unknown, but Th2-mediated immuno-allergic mechanisms are suspected.
- Diagnosis requires esophageal biopsies with >15 intraepithelial eosinophils/HPF and exclusion of GERD.
Implications:
- Current treatments focus on allergen avoidance through diet and topical steroid therapy.
- Understanding EoE's variability is crucial for diagnosis and long-term management in pediatric patients.
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