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Updated: May 20, 2025

Author Spotlight: Investigating the Pathophysiology of Eosinophilic Esophagitis
Published on: May 10, 2024
Exploring the Link Between Atopic Dermatitis and Eosinophilic Esophagitis.
Joanna Jaros1, Kripa Ahuja2, Peter Lio3
1Dr. Jaros is with the Department of Dermatology at Cook County Hospital and Health System in Chicago, Illinois.
Eosinophilic esophagitis (EoE) and atopic dermatitis (AD) are linked type 2 helper cell diseases. Their shared pathways and treatments offer new research and therapeutic insights.
Area of Science:
- Immunology
- Gastroenterology
- Dermatology
Background:
- Eosinophilic esophagitis (EoE) and atopic dermatitis (AD) are type 2 helper cell-mediated diseases.
- These conditions share immunological pathways, genetic risks, and clinical features with other atopic diseases like asthma and allergies.
- Both EoE and AD involve impaired immune responses leading to CD4+ Th2 differentiation and elevated immunoglobulin E (IgE).
Purpose of the Study:
- To review the clinical and immunological connections between EoE and AD.
- To explore the implications of their co-occurrence for research and treatment.
- To highlight shared characteristics along the skin-gut axis.
Main Methods:
- This is a narrative review.
- Literature search on EoE, AD, and related atopic conditions.
- Analysis of shared clinical, immunological, and genetic factors.
Main Results:
- EoE and AD exhibit overlapping features, immune responses, and genetic predispositions.
- Both diseases affect stratified squamous epithelium and share treatment strategies.
- The co-occurrence of EoE and AD is an area of growing research interest.
Conclusions:
- EoE and AD share significant clinical and immunological similarities, suggesting a common underlying pathophysiology.
- Understanding these connections can inform novel therapeutic strategies and research directions.
- Targeting shared pathways may offer improved management for patients with comorbid EoE and AD.
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