دورية أكاديمية

Clinicopathologic Analysis of Proton Pump Inhibitor-Responsive Esophageal Eosinophilia in Korean Patients

التفاصيل البيبلوغرافية
العنوان: Clinicopathologic Analysis of Proton Pump Inhibitor-Responsive Esophageal Eosinophilia in Korean Patients
المساهمون: College of Medicine, Dept. of Internal Medicine, Da Hyun Jung, Gak-Won Yun, Yoo Jin Lee, Yunju Jo, Hyojin Park, Park, Hyo Jin, Yun, Gak Won, Jung, Da Hyun
بيانات النشر: Editorial Office of Gut and Liver
Korea (South)
سنة النشر: 2016
مصطلحات موضوعية: Adult, Asian Continental Ancestry Group, Chest Pain/etiology, Deglutition Disorders/etiology, Diagnosis, Differential, Eosinophilic Esophagitis/complications, Eosinophilic Esophagitis/drug therapy, Eosinophilic Esophagitis/pathology, Esophagus/pathology, Female, Follow-Up Studies, Gastroesophageal Reflux/etiology, Heartburn/etiology, Humans, Male, Middle Aged, Pharyngitis/etiology, Phenotype, Proton Pump Inhibitors/therapeutic use, Republic of Korea, Retrospective Studies, Sensation Disorders/etiology, Treatment Outcome, Young Adult, Eosinophilic esophagitis, Proton pump inhibitor responsive esophageal eosinophilia, Proton pump inhibitors
الوصف: BACKGROUND/AIMS: Proton pump inhibitor-responsive esophageal eosinophilia (PPI-REE) is a newly recognized form of eosinophilic esophagitis (EoE) that responds to PPI therapy. It remains unclear whether PPI-REE represents a subphenotype of gastroesophageal reflux disease, a subphenotype of EoE, or its own distinct entity. The aim was to evaluate the clinicopathologic features of PPI-REE. METHODS: Six patients were diagnosed with PPI-REE based on symptoms, endoscopic abnormalities, esophageal eosinophilia with �돟15 eosinophils/high-power field, and a response to PPI treatment. Symptoms and endoscopic and pathological findings were evaluated. RESULTS: The median follow-up duration was 12 months. Presenting symptoms included dysphagia, heartburn, chest pain, foreign body sensation, acid reflux, and sore throat. All patients had typical endoscopic findings of EoE such as esophageal rings, linear furrows, nodularity, and whitish plaques. Three patients had a concomitant allergic disorder, and one had reflux esophagitis. Four patients exhibited elevated serum IgE, and five had positive skin prick tests. All patients experienced symptomatic resolution within 4 weeks and histologic resolution within 8 weeks after starting PPI therapy. There was no symptomatic recurrence. CONCLUSIONS: PPI therapy induced rapid resolution of symptoms and eosinophil counts in patients with PPI-REE. Large-scale studies with long-term follow-up are warranted. ; open
نوع الوثيقة: article in journal/newspaper
وصف الملف: 37~41
اللغة: English
تدمد: 1976-2283
2005-1212
25963082
العلاقة: GUT AND LIVER; J00954; OAK-2016-01354; https://ir.ymlib.yonsei.ac.kr/handle/22282913/146558Test; T201601907; GUT AND LIVER, Vol.10(01) : 37-41, 2016
DOI: 10.5009/gnl14269
الإتاحة: https://doi.org/10.5009/gnl14269Test
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146558Test
حقوق: CC BY-NC-ND 2.0 KR ; https://creativecommons.org/licenses/by-nc-nd/2.0/krTest/
رقم الانضمام: edsbas.5D196AA8
قاعدة البيانات: BASE
الوصف
تدمد:19762283
20051212
25963082
DOI:10.5009/gnl14269