Table 1.
Age | Symptom duration at presentation | Presenting symptoms | Diagnostic endoscopy1 | Treatment | Histologic resolution | Feeding therapy | |
1 | 20 mo | 9 mo | Vomiting, feeding refusal | Edema and exudate; up to 70 eos/hpf | OVB 0.5 mg BID; ADED | Normal; no eos/hpf | Weekly individual sessions |
2 | 4 yr | 2 yr | Vomiting, abdominal pain, feeding refusal | Furrows and exudate; up to 60 eos/hpf | Fluticasone 44 ug 2 puffs BID swallowed | Normal; no eos/hpf | Individual sessions followed by group sessions |
3 | 15 yr | 9 yr | Solid food dysphagia | Ringed esophagus; up to 46 eos/hpf | Fluticasone 220 ug 2 puffs BID swallowed, ADED | Furrows; up to 4 eos/hpf | Bimonthly individual sessions |
Gross and histologic appearance. All diagnostic endoscopies were performed after 8 wk of age appropriate high dose proton pump inhibitor treatment to effectively exclude gastroesophageal acid reflux disease. eos/hpf: Eosinophils per high power field; OVB: Oral viscous budesonide; ADED: Allergen directed elimination diet, as identified by immunocap and skin prick testing.