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Updated: Feb 5, 2026

Author Spotlight: Investigating the Pathophysiology of Eosinophilic Esophagitis
Published on: May 10, 2024
Respiratory symptoms associated with eosinophilic esophagitis
Eitan Rubinstein1, Rachel L Rosen1
1Aerodigestive Center, Division of Gastroenterology and Nutrition, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Eosinophilic esophagitis (EoE) can cause symptoms outside the esophagus, affecting the airways and voice. Early awareness by specialists is crucial for accurate diagnosis and management.
Area of Science:
- Immunology
- Gastroenterology
- Otorhinolaryngology
Background:
- Eosinophilic esophagitis (EoE) is an atopic condition characterized by eosinophilic infiltration of the esophagus.
- While EoE primarily affects the esophagus, emerging evidence suggests extraesophageal manifestations.
Purpose of the Study:
- To review the medical literature on extraesophageal symptoms associated with EoE.
- To emphasize the importance of recognizing EoE in patients presenting with non-gastrointestinal symptoms.
Main Methods:
- Literature review of studies reporting extraesophageal symptoms in EoE patients.
- Analysis of clinical presentations and diagnostic challenges.
Main Results:
- EoE is associated with symptoms like chronic cough, croup, hoarseness, and subglottic stenosis.
- These symptoms can occur without typical gastrointestinal manifestations.
- Prior treatment with proton pump inhibitors or corticosteroids can complicate diagnosis.
Conclusions:
- Extraesophageal manifestations of EoE are increasingly recognized.
- Increased awareness among pulmonologists and otolaryngologists is vital for timely diagnosis.
- Recognizing EoE outside of typical GI presentations improves patient outcomes.
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