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Letter
‘Trachealised oesophagus’ feature of late onset atopic march
  1. Jeyasakthy Saniasiaya
  1. Department of Otorhinolaryngology, Hospital Tuanku Ja'afar, Seremban, Negeri Sembilan, Malaysia
  1. Correspondence to Dr Jeyasakthy Saniasiaya, Otorhinolaryngology, Hospital Tuanku Ja'afar Seremban, Seremban, Malaysia; shakthy_18{at}yahoo.com

http://dx.doi.org/10.1136/postgradmedj-2020-137856

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    We read the paper on endoscopic findings of eosinophilic oesophagitis (EoE) successfully treated with a short-term-6-food-group elimination diet and reintroduction therapy with great interest.1 The authors have described concisely on how EoE was diagnosed in a child and successfully treated. We would like to draw attention on EoE as a feature of atopic march (AM) among children.

    EoE is a chronic immune-mediated inflammatory disorder characterised by oesophageal dysfunction resulting from infiltration of eosinophil into the oesophageal mucosal epithelium. It is a part of wide-spectrum food allergy characterised by T helper-2 (Th-2) type immune reaction (speculate atopy-associated disorder). On the other hand, AM encompasses step-by-step atopic disorders which atopic dermatitis inaugurates followed by allergic rhinitis and eventually asthma.2 Its atopic nature has made EoE to become …

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; internally peer reviewed.