Eosinophilic esophagitis

Ann Allergy Asthma Immunol. 2014 May;112(5):397-403. doi: 10.1016/j.anai.2014.01.023. Epub 2014 Feb 22.

Abstract

Objective: To review the understanding of the pathogenesis of eosinophilic esophagitis (EoE) and the role of the immune system in the disease process.

Data sources: Peer-reviewed articles on EoE from PubMed searching for "Eosinophilic Esophagitis and fibrosis" in the period of 1995 to 2013.

Study selections: Studies on the clinical and immunologic features, pathogenesis, and management of EoE.

Results: Recent work has revealed that thymic stromal lymphopoietin and basophil have an increased role in the pathogenesis of disease. Additional understanding on the role of fibrosis in EoE is emerging.

Conclusion: The incidence of EoE is increasing like most atopic disease. Similar to other allergic diseases, EoE is treated with topical steroids and/or allergen avoidance.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Adult
  • Allergens / immunology
  • Basophils / immunology
  • Child
  • Cytokines / metabolism
  • Eosinophilic Esophagitis / drug therapy
  • Eosinophilic Esophagitis / epidemiology
  • Eosinophilic Esophagitis / immunology*
  • Eosinophils / cytology
  • Esophagus / immunology*
  • Esophagus / pathology*
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Lymphocytes / immunology
  • Male
  • Thymic Stromal Lymphopoietin

Substances

  • Adrenal Cortex Hormones
  • Allergens
  • Cytokines
  • Thymic Stromal Lymphopoietin