The patient undergoes upper endoscopy (EGD). Here are the findings:
Next, the esophagus was thoroughly evaluated. Here are some images:
Mucosal Biopsies were taken from both the proximal and distal esophagus.
Histologic analysis of the biopsies revealed squamous mucosa with > 30 eosinophils per high powered field, eosinophilic microabscesses, lamina propria fibrosis and basal cell hyperplasia.
See the labelled figures below to better understand each of these findings.
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Case 8 Index: