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Pediatric EoE Case Studies

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This document contains multiple cases related to pediatric and adolescent patients with eosinophilic esophagitis (EoE). Each case presents a different scenario and highlights various aspects of EoE management.<br /><br />Case #1 involves a 12-year-old male with concerns about poor growth. The patient has a history of asthma and seasonal allergies and reports chronic nausea and burping. The recommended next step is to consider blood testing for celiac disease, UGI, endoscopy, or starting PPI bid.<br /><br />Case #2 features a 16-year-old male who presents to the emergency department with acute food impaction. The patient has a history of difficulties swallowing food and has been able to clear impactions in the past. The options for next steps include CXR, UGI, endoscopy, or administering coca cola in the ED.<br /><br />Case #3 describes a 2-year-old with failure to thrive and a history of EoE. The recommended next step is to eliminate all milk and dairy from the diet, start swallowed steroids, start an amino acid-based formula, or place a G-tube for enteral therapy.<br /><br />Case #4 involves a 12-year-old with chronic EoE and ulcerative colitis. The patient has been managed with infliximab, elemental formula, and diet modifications. The case emphasizes the need for ongoing treatment and individualized management in complex cases.<br /><br />Case #5 presents a 2-year-old with FTT, EoE, and a history of peanut allergy. The recommended next step is to eliminate all milk and dairy from the diet, start swallowed steroids, start an amino acid-based formula, or place a G-tube for enteral therapy.<br /><br />Overall, the cases highlight the diverse clinical presentations and management approaches in pediatric EoE and underscore the need for a personalized and multidisciplinary approach to treatment.

Keywords

pediatric

adolescent

eosinophilic esophagitis

EoE

poor growth

endoscopy

food impaction

failure to thrive

milk and dairy elimination

swallowed steroids