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Type: Artigo
Title: Mast Cells Distinguish Eosinophilic Esophagitis In Pediatric Patients
Title Alternative: Mastócitos Discriminam Esofagite Eosinofílica Em Pacientes Pediátricos
Author: Lomazi
Elizete Aparecida; Brandalise
Nelson Ary; Servidoni
Maria de Fátima Pimenta Correa; Cardoso
Silvia Regina; Meirelles
Luciana Rodrigues
Abstract: Mast cells exert a substantial role in gastrointestinal allergic diseases. Therefore, it is reasonable to presume that mast cell may aid diagnosis in eosinophilic gastroenteropathy. OBJECTIVE: To evaluate whether mast cell count in the esophageal epithelium can discriminate eosinophilic esophagitis, proton-pump inhibitor (PPI)-responsive eosinophilic esophagitis and gastroesophageal reflux esophagitis. METHODS: Retrospectively we reviewed the files of 53 consecutive patients (age: 7.8 years; range: 8-14 years) with definitive diagnose established during clinical follow up in a universitary outpatient clinic as follow: eosinophilic esophagitis (N=23), PPI-responsive eosinophilic esophagitis (N=15) and gastroesophageal reflux esophagitis (N=15). Eosinophil count in the esophageal epithelium in slides stained with H-E was reviewed and immunohistochemistry for mast cell tryptase was performed. RESULTS: Count of eosinophils/high-power field (HPF) higher than 15 were found in 14 out of 15 reflux esophagitis patients. The mean count of eosinophils/HPF was similar in eosinophilic esophagitis patients and in those with PPI-responsive eosinophilic esophagitis (42 and 39 eosinophils/HPF, respectively, P=0.47). Values of mast cell tryptase (+) were higher in eosinophilic esophagitis [median: 25 mast cells/HPF; range (17-43) ] and in PPI-responsive eosinophilic esophagitis patients [25 (16-32) ], compared to reflux esophagitis [4 (2-14) ], P<0.001. There was no difference between the mean count of mast cells/HPF in the esophageal epithelium of eosinophilic esophagitis patients and PPI-responsive eosinophilic esophagitis patients, respectively, 26 and 24 mast cells/HPF, P=0.391. CONCLUSION: Tryptase staining of mast cells differentiates eosinophilic esophagitis from reflux esophagitis.
Subject: Esophageal Diseases
Eosinophilic Esophagitis
Peptic Esophagitis
Mast Cells
Doenças Do Esôfago
Esofagite Eosinofílica
Esofagite Peptic
Editor: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva e Neurogastroenterologia - SBMDN Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED
Citation: Arquivos De Gastroenterologia. Instituto Brasileiro De Estudos E Pesquisas De Gastroenterologia - Ibepege Colégio Brasileiro De Cirurgia Digestiva - Cbcd Sociedade Brasileira De Motilidade Digestiva E Neurogastroenterologia - Sbmdn Federação Brasileira De Gastroenterologia - Fbgsociedade Brasileira De Hepatologia - Sbhsociedade Brasileira De Endoscopia Digestiva - Sobed, p.
Rights: aberto
Date Issue: 2017
Appears in Collections:Unicamp - Artigos e Outros Documentos

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