Diagnosis delays in eosinophilic esophagitis (EoE) are common, and Colette Romero's son had symptoms soon after birth but was not diagnosed until age 3.
Diagnosis delays in eosinophilic esophagitis (EoE) are common, and Colette Romero's son had symptoms soon after birth but was not diagnosed until age 3.
Transcript
How old was your child when he or she was diagnosed with eosinophilic esophagitis (EoE), and was it difficult to get a diagnosis?
So my son was 3 years old when he was first diagnosed with [EoE]. But there were signs and symptoms well before that, actually from birth. So he was born at almost full term, around 37 weeks, but he was very small. He was small for gestational age, they said, just a little over 5 pounds. And right from the beginning, he really struggled with nursing. He was very fussy, he had a lot of reflux. And then he started to have full body hives, and eczema, and failure to gain weight. So we were constantly in at the doctor's offices, at the lactation consultant every week for weigh-ins. And so the doctors were kind of clued in that there was some allergic process going on. And finally [at] around a year, we were referred to an allergist who put me on an elimination diet and did scratch testing, and revealed that my son was allergic to peanuts and tree nuts. So I went off of those things, I went off of all peanuts, tree nuts, dairy, wheat, and continued to nurse. And when we started with the solids, that didn't go well either, he continued to struggle with reflux, he would choke, he would vomit, and he failed to gain weight. So finally, they referred to a gastroenterologist, who put my son on a [proton pump inhibitor] to kind of help with the inflammation and the reflux. But after some time, you know, he said, I think we need to do an upper endoscopy because he's just not thriving, he's not gaining weight, and he just seems pretty miserable. So they did the [esophagogastroduodenoscopy], and that's when it was revealed that he had [EoE] at age 3, and we were just really glad to know what was going on and to put a name to it, and to know that there were some treatment options, because it just felt like there was hope at that point. Whereas before, it was just a constant state of anxiety and worry as a mother. Also, the primary care doctor really didn't know what was going on, since we were trying everything. And so that's how he was diagnosed.
Higher Psoriatic Arthritis Disease Burden Found Among Hispanic, Non-White Patients
February 4th 2025Hispanic and non-White patients with psoriatic arthritis (PsA) had higher tender joint counts and greater disease severity, highlighting racial and ethnic disparities in PsA disease burden and treatment outcomes.
Read More
Mind the Gap: Patient-Reported PsA Impact Scores, Physician Treatment Decisions Misaligned
January 23rd 2025While higher patient-reported Psoriatic Arthritis (PsA) Impact of Disease questionnaire (PsAID-12) scores were associated with treatment escalation, physicians primarily relied on clinical assessments when making treatment decisions.
Read More