Diseases of the esophagus in the practice of allergologist


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详细

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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作者简介

M. 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. Sobolev

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

Department of Clinical Mycology, Allergology and Immunology

Yu. Avdeenko

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

SRL of Pathomorphology and Cytology

A. Pyatakova

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

Department of Clinical Mycology, Allergology and Immunology

N. Klimko

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

Department of Clinical Mycology, Allergology and Immunology

参考

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