Lymphocytic esophagitis

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Lymphocytic esophagitis
Histological image of lymphocytic esophagitis
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Dysphagia, odynophagia, chest pain, heartburn
Complications	Esophageal stricture, esophageal perforation
Onset	Any age, more common in adults
Duration	Chronic
Types	N/A
Causes	Unknown, possibly immune-mediated
Risks	Autoimmune disorders, allergic conditions
Diagnosis	Endoscopy with biopsy
Differential diagnosis	Eosinophilic esophagitis, gastroesophageal reflux disease
Prevention	N/A
Treatment	Proton pump inhibitors, topical corticosteroids, dietary modification
Medication	N/A
Prognosis	Variable, often chronic
Frequency	Rare, exact prevalence unknown
Deaths	N/A

Endoscopic view of food bolus obstruction

Endoscopic image of lymphocytic esophagitis

Lymphocytic esophagitis (LE) is a rare, poorly understood medical condition that affects the esophagus. It is characterized by an increased number of lymphocytes in the esophagus without the common features of gastroesophageal reflux disease (GERD).

Symptoms

The symptoms of lymphocytic esophagitis can vary greatly among patients. Some may experience no symptoms at all, while others may have severe symptoms. Common symptoms include dysphagia (difficulty swallowing), heartburn, and chest pain.

Causes

The exact cause of lymphocytic esophagitis is unknown. However, it is thought to be related to an immune response, possibly triggered by an allergy or autoimmune disease.

Diagnosis

Diagnosis of lymphocytic esophagitis is typically made through an endoscopy and biopsy of the esophagus. The presence of a high number of lymphocytes in the esophagus, without other signs of GERD, is indicative of LE.

Treatment

Treatment for lymphocytic esophagitis is largely symptomatic. This may include dietary changes, medications to reduce stomach acid, and in severe cases, corticosteroids or other immunosuppressive drugs.

Prognosis

The long-term prognosis for individuals with lymphocytic esophagitis is generally good. However, the condition can cause significant discomfort and impact quality of life. Ongoing research is needed to better understand this condition and develop more effective treatments.

See also

• Esophagus
• Lymphocyte
• Gastroesophageal reflux disease
• Endoscopy
• Biopsy

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