Idiopathic eosinophilic esophagitis is thought to develop as an inflammatory response to ingested food allergens. Patients are usually young men (20-40) who present with dysphagia and recurrent food impaction.
The typical fluoroscopic appearance of a ringed esophagus that of multiple, fixed, closely spaced, concentric rings that traverse an area of esophageal stricture. Not all patients, however, have this typical ringed esophagus appearance, which may be a late complication of eosinophilic esophagitis.
References
- Zimmerman SL, Levine MS, Rubesin SE, Mitre MC, Furth EE, Laufer I, Katzka DA. Idiopathic eosinophilic esophagitis in adults: the ringed esophagus. Radiology. 2005 Jul;236(1):159-65.
- Cantù P, Velio P, Prada A, Penagini R. Ringed oesophagus and idiopathic eosinophilic oesophagitis in adults: an association in two cases. Dig Liver Dis. 2005 Feb;37(2):129-34.
fantastic image!
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