45 year old man undergoing endoscopy for evaluation of dysphagia to solids. The esophageal lining showed multiple concentric rings, often called "corrugated esophagus." Although the mucosa did not appear to be grossly inflamed, biopsies revealed eosinophilic esophagitis. Symptoms responded to oral liquid fluticasone.
40 year-old man with abdominal pain. Endoscopy revealed granularity/nodularity of the mucosa of the distal third of the esophagus. Biopsies revealed squamous hyperplasia and intraepithelial eosinophils up to 100/hpf.
16 year old undergoing endoscopy for evaluation of dysphagia. Exam revealed corrugated mucosa (left) and linear furrows (center) suggestive of EoE. Histology (right) revealed increased intraepithelial eosinophils, up to 39/hpf.
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