Daniel Is Diagnosed With EoE
2018 AGREE Consensus Diagnostic Criteria for EoE1
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Symptoms
Patients with clinical presentation suggestive of EoE
Dysphagia, chest pain,
food impaction1
May include comorbidities such as asthma, atopic dermatitis,
or food allergies1
Endoscopic Assessment
May move to an EGD
EREFS score obtained from upper endoscopy to assess esophageal rings, longitudinal furrows, exudates, edema, strictures, or narrow caliber esophagus1
Histologic Assessment
Diagnosis can only be confirmed by upper endoscopy with biopsy*
Esophageal biopsy specimens should be obtained from 2 or more esophageal levels. Diagnosis is confirmed with an esophageal eosinophilia level of ≥15 eos/hpf (60 eos/mm2)1*
Exclusion of
Non-EoE Disorders
Patients with ≥15 eos/hpf should be evaluated for non-EoE disorders
Non-EoE disorders that cause or potentially contribute to esophageal eosinophilia include eosinophilic gastritis, GERD, achalasia, hypereosinophilic syndrome, Crohn’s disease, among others1