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Updated: May 11, 2025

Author Spotlight: Investigating the Pathophysiology of Eosinophilic Esophagitis
Published on: May 10, 2024
Eosinophilic Esophageal Myositis
Ajay Pranami1, Amol Dahale1, Abhijeet Karad1
1Department of Medical Gastroenterology, Dr. D Y Patil Vidyapeeth, Dr. D Y Patil Medical College, Hospital and Research Centre, Pune, India.
Eosinophilic esophageal myositis (EoEM) is a rare esophageal disorder. This study highlights endoscopic ultrasound for diagnosing EoEM and its successful treatment with steroids.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Eosinophilic esophageal myositis (EoEM) is a rare condition characterized by eosinophilic infiltration of the muscularis propria of the esophagus.
- It presents with symptoms like chest pain, dysphagia, and food impaction, often mimicking eosinophilic esophagitis, complicating diagnosis.
Observation:
- A 73-year-old male patient presented with symptoms suggestive of esophageal pathology.
- Endoscopic ultrasound (EUS) was utilized to assess the esophageal wall layers and guide biopsy.
Findings:
- EUS confirmed EoEM by visualizing involvement of the muscularis propria.
- The patient received steroid therapy, leading to a successful clinical outcome.
Implications:
- Endoscopic ultrasound is a valuable tool for diagnosing EoEM, differentiating it from eosinophilic esophagitis.
- Early diagnosis and medical management, such as with steroids, are crucial for treating EoEM and preventing complications.
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