OPEN
Wael N Sayej1, Antoine Ménoret2, Anu S Maharjan2,3, Marina Fernandez1, Zhu Wang4, Fabiola Balarezo5, Jeffrey S Hyams1, Francisco A Sylvester1,2,3,6 and Anthony T Vella2,6
- 1Department of Pediatrics, Division of Digestive Diseases, Hepatology & Nutrition, Connecticut Children’s Medical Center, Hartford, CT, USA
- 2Department of Immunology, University of Connecticut Health Center, Farmington, CT, USA
- 3Department of Pediatrics, Division of Gastroenterology, University of North Carolina School of Medicine, Chapel Hill, NC, USA
- 4Department of Research, Connecticut Children’s Medical Center, Hartford, CT, USA
- 5Department of Pathology and Laboratory Medicine, Hartford Hospital, Hartford, CT, USA
Correspondence: Dr WN Sayej, Department of Pediatrics, Division of Digestive Diseases, Hepatology and Nutrition, Connecticut Children’s Medical Center, 282 Washington Street, Hartford, CT 06106, USA. E-mail:wsayej@connecticutchildrens.org
6Co-senior authors.
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Abstract
Eosinophilic esophagitis (EoE) is an emerging allergic, IgE- and non-IgE (Th2 cell)-mediated disease. There are major gaps in the understanding of the basic mechanisms that drive the persistence of EoE. We investigated whether esophageal biopsies from children with EoE demonstrate an inflammatory response that is distinct from normal controls. We prospectively enrolled 84 patients, of whom 77 were included in our analysis, aged 4–17 years (12.8±3.8 years; 81% males). Five esophageal biopsies were collected from each patient at the time of endoscopy.