Eosinophilic Oesophagitis — RACP Paediatrics MCQ

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ModerateGastroenterologyEosinophilic OesophagitisRACP Paediatrics

A 14-year-old presents with dysphagia to solids, food impaction, and heartburn. Upper endoscopy shows oesophageal rings and furrows. Biopsies show >15 eosinophils per high-power field. What is the diagnosis?

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Correct answer: E — Eosinophilic oesophagitis

EoE presents with dysphagia, food impaction (especially in adolescents), and heartburn. Endoscopic features include rings, furrows, and white exudates. Histological diagnosis requires ≥15 eosinophils/HPF after excluding other causes. First-line treatment is swallowed topical corticosteroids or proton pump inhibitors.

Reference: AUSPGHAN – 2024 – Position Statement on Eosinophilic Oesophagitis