Table 2 Clinical, histological, and endoscopic findings in patients diagnosed with both eosinophilic esophagitis (EoE) and celiac disease (CD)
From: The association between celiac disease and eosinophilic esophagitis in children and adults
Patient # 1 | Patient # 2 | Patient # 3 | |
|---|---|---|---|
Symptoms | Food bolus obstruction and heartburn | Abdominal pain and reflux | Intermittent vomiting |
Age at diagnosis | 14 EoE / 14 CD | 15 EoE / 15 CD | 11 EoE / 11 CD |
pH study | Normal | – | Normal |
PPI | Yes | – | Yes |
Other diagnoses | Asthma, allergies | – | Atopy, food allergies |
Endoscopy findings | |||
Esophagus | Nodular mucosa and linear furrowing | Linear furrowing and adherent white plaques | Linear furrowing |
Duodenum | “Scalloping” of the duodenum | Normal | Normal |
Histology findings | |||
Esophagus | >15 EoE per HPF | >15 EoE per HPF | >15 EoE per HPF |
Duodenum | Marsh III | Marsh IIIb | Marsh III |
Gluten restriction | Normalized | Improved | Normalized |