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Clinical Characteristics, Diagnostic Challenges, and Therapeutic Outcomes in Non-eosinophilic Esophagitis Eosinophilic Gastrointestinal Diseases in Comparison with Eosinophilic Esophagitis

Azizollah Yousefi, Saeed Sepehry Vafa, Mina Mirzad, Fatemeh Elham Mahjoub, Behnam Shahsavand, Ebrahim Babaee, Fereshteh Karbasian, Mohammad Nabavi, Mohammad Hasan Bemanian, Sima Shokri, Saba Arshi, Morteza Fallahpour

Iranian Journal of Allergy, Asthma and Immunology · 2026

Vollständiger Abstract

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Eosinophilic gastrointestinal diseases (EGIDs) are chronic, TH2-mediated conditions. Eosinophilic esophagitis (EoE) is the most common type, while non-EoE EGIDs affect other gut segments. This retrospective study of 111 patients (50 EoE and 61 non-EoE) from 2011 to 2022 compared the clinical aspects of these 2 types. Dysphagia and food impaction dominated in EoE, while abdominal pain, nausea, and diarrhea were more common in non-EoE EGIDs. Atopic comorbidities were frequent. Diagnostic delays>1 year were more common in EoE (72% vs 47.5%). The overall clinical response rate was 88.29%, with most patients using food avoidance (90.99%) and proton pump inhibitors (94.59%). Clinical relapses occurred in 38.88% over the mean follow-up of 4.62 years and were unaffected by therapy type. Failure to thrive was seen in 26.7%, with no significant intergroup difference. This study highlights a prolonged diagnostic delay in EoE vs non-EoE EGIDs. Both groups showed similar, favorable response rates, underscoring a need for greater awareness. Prospective studies with standardized measures are required to optimize management.

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Publikationsdaten

Autor:innen
Azizollah Yousefi, Saeed Sepehry Vafa, Mina Mirzad, Fatemeh Elham Mahjoub, Behnam Shahsavand, Ebrahim Babaee, Fereshteh Karbasian, Mohammad Nabavi, Mohammad Hasan Bemanian, Sima Shokri, Saba Arshi, Morteza Fallahpour
Quelle
Iranian Journal of Allergy, Asthma and Immunology
Publikation
2026-01-01
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Nicht angegeben
Seiten
Nicht angegeben
ISSN / ISBN
1735-5249, 1735-1502
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Azizollah Yousefi, Saeed Sepehry Vafa, Mina Mirzad, Fatemeh Elham Mahjoub, Behnam Shahsavand, Ebrahim Babaee, Fereshteh Karbasian, Mohammad Nabavi, Mohammad Hasan Bemanian, Sima Shokri, Saba Arshi, Morteza Fallahpour (2026). Clinical Characteristics, Diagnostic Challenges, and Therapeutic Outcomes in Non-eosinophilic Esophagitis Eosinophilic Gastrointestinal Diseases in Comparison with Eosinophilic Esophagitis. Iranian Journal of Allergy, Asthma and Immunology. https://doi.org/10.18502/ijaai.v25is11.22484
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