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. Author manuscript; available in PMC: 2020 Apr 1.
Published in final edited form as: Expert Rev Clin Immunol. 2019 Feb 20;15(4):315–318. doi: 10.1080/1744666X.2019.1579643

Table 3.

Summary of updated EoE diagnostic criteria [3,4]

1. Symptoms of esophageal dysfunction
 ○ Concomitant atopic conditions should increase suspicion for EoE
 ○ Endoscopic findings characteristic of EoE should increase suspicion
2. Biopsy findings of 15 eosinophils per high-power field (approximately 60 eosinophils/mm2), with tissue eosinophilia isolated to the esophagus
3. Other causes of esophageal eosinophilia have been ruled out, for example: eosinophilic gastrointestinal disease with esophageal involvement; achalasia and other disorders of esophageal dysmotility; Hypereosinophilic syndrome; Crohn disease with esophageal involvement; infections (fungal, viral); connective tissue disorders; dermatologic conditions with esophageal involvement (ie: pemphigus); drug hypersensitivity reactions; pill esophagitis; graft vs host disease; Mendelian disorders (Marfan syndrome type II, hyper-IgE syndrome, PTEN hamartoma tumor syndrome, Netherton syndrome, severe atopy metabolic wasting syndrome)