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Author: Emmanuel RASSIAT, Dijon, Bourgogne-Franche-Comté, France
Eosinophilic esophagitis, a chronic inflammatory disease of the esophagus, presents with an endoscopic picture characterized by several abnormalities visible during endoscopy (gastroscopy), including:
- Erythema and edema (redness and swelling of the esophageal mucosa)
- Mucosal friability (the mucosa appears fragile and tears easily during endoscopy)
- Eosinophilic microabscesses (small whitish spots on the mucosa, due to the presence of eosinophils)
- Esophageal rings (concentric rings that narrow the esophageal lumen)
- Stricture (narrowing of the esophageal lumen, which can cause dysphagia)
- Crepe paper sign (rare sign, characterized by tearing of the mucosa when the endoscope is passed)