Checklist for Diagnosing EoE
2018 AGREE Consensus
Diagnostic Criteria for EoE1
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Symptoms
Difficulty swallowing, chest pains, and comorbidity of food allergy to shellfish all reflect a clinical presentation suggestive of EoE
Endoscopic Assessment
Recent food impaction and EREFS total score of 5 out of 8 reflect upper endoscopic findings, which increase suspicion for EoE
Histologic Assessment
Esophageal eosinophilia of 40 eos/hpf is above the 15 eos/hpf threshold necessary to confirm EoE diagnosis
Exclusion of
Non-EoE Disorders
Lack of GERD excludes a common non-EoE disorder that may be present in patients with EoE
ALL of the Diagnostic Criteria are needed to confirm an EoE diagnosis, including requiring esophageal biopsies to assess eosinophil count1