Diseases of the esophagus in the practice of allergologist


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Abstract

In the practice of an allergist, there are three most common variants of esophagitis - candidal esophagitis (complication of glucocorticosteroid therapy), eosinophilic esophagitis and reflux esophagitis (confounding factor for bronchial asthma). Visually, with endoscopy, these esophagites look similar and can be combined. The result of a morphological study of the biopsy is critical for the correct diagnosis. Candidiasis is characterized by the identification of the so-called pseudomycelium - the filiform form of yeast-like Candida fungus, eosinophilic esophagitis - by a certain eosinophil infiltration density, and reflux esophagitis - by the signs of nonspecific esophagitis. Esophageal candidiasis is usually treated with fluconazole for 2-3 weeks, reflux esophagitis - with proton pump inhibitors, and eosinophilic esophagitis - with glucocorticosteroids for a long time.

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About the authors

M. A Shevyakov

SBEI HE NWSMU n.a. I.I. Mechnikov

Email: shevyakov@inbox.ru
Doctor of Medical Sciences, Prof. at the Department of Department of Clinical Mycology, Allergology and Immunology

A. V Sobolev

SBEI HE NWSMU n.a. I.I. Mechnikov

Department of Clinical Mycology, Allergology and Immunology

Yu. L Avdeenko

SRI of Medical Mycology n.a. P.N. Kashkin SBEI HE NWSMU n.a. I.I. Mechnikov

SRL of Pathomorphology and Cytology

A. V Pyatakova

SBEI HE NWSMU n.a. I.I. Mechnikov

Department of Clinical Mycology, Allergology and Immunology

N. N Klimko

SBEI HE NWSMU n.a. I.I. Mechnikov

Department of Clinical Mycology, Allergology and Immunology

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