Recurrent eosinophilic esophagitis in an adolescent patient

Abstract

Despite the availability of current Russian clinical guidelines for the management of eosinophilic esophagitis, this disease is a difficult diagnostic and therapeutic problem. The article presents a clinical observation of a teenager with recurrent eosinophilic esophagitis. The importance of clarifying the patient’s compliance with an emphasis on adherence to the regimen and the adequacy of the dose of the therapy used is emphasized. Despite the ongoing complex therapy administered to the patient with eosinophilic esophagitis, including an elimination diet, proton pump inhibitors and topical steroids, the patient has relapses of the disease, confirmed endoscopically and morphologically. The absence of a regulated duration of therapy with topical steroids, the need for endoscopic and morphological monitoring of the effectiveness of treatment also complicates the management of this group of patients.