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EoE – trachealization — RACP Paediatrics MCQ

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ModerateGIEoE – trachealizationRACP Paediatrics

A 7-year-old has intermittent dysphagia, food impaction. Endoscopy shows rings (trachealization), furrows, white exudates. Biopsy: ≥15 eos/HPF. PPI trial unsuccessful. What is the diagnosis?

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Correct answer: E — Eosinophilic oesophagitis

Trachealization, furrows, exudates with ≥15 eos/HPF is EoE. PPI non-response no longer required for diagnosis. Treatment: swallowed topical corticosteroids or dietary elimination.

Reference: RCH Melbourne – 2023 – EoE CPG