{"id":3750,"date":"2015-09-09T09:40:00","date_gmt":"2015-09-09T09:40:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=3750"},"modified":"2024-05-15T12:24:34","modified_gmt":"2024-05-15T12:24:34","slug":"caso-clinico-diagnosticando-corretamente-a-esofagite-eosinofilica","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-diagnosticando-corretamente-a-esofagite-eosinofilica\/","title":{"rendered":"Diagnosticando corretamente a esofagite eosinof\u00edlica"},"content":{"rendered":"<p>A esofagite eosinof\u00edlica vem sendo cada vez mais diagnosticada em nosso meio devido ao conhecimento melhor desta patologia e maior acesso ao exame de endoscopia digestiva.<\/p>\n<p>Classicamente a doen\u00e7a atinge mais homens jovens, com hist\u00f3ria de outra patologia al\u00e9rgica e leva a sintomas desde disfagia at\u00e9 impacta\u00e7\u00e3o de alimentos.<\/p>\n<p>Para o diagn\u00f3stico necessitam-se dos seguintes crit\u00e9rios:<\/p>\n<p>&#8211; Infiltrado eosinof\u00edlico no epit\u00e9lio esof\u00e1gico : \u00a0mais\u00a015 eosin\u00f3filos \/ campo grande aumento (400X)<\/p>\n<p>&#8211; \u00a0Histologia g\u00e1strica e duodenal normal (para afastar gastroenterite eosinof\u00edlica)<\/p>\n<p>&nbsp;<\/p>\n<p><strong>CASO 1<\/strong><\/p>\n<p>ID: LD, 30 anos, masculino, taxista, natural e procedente de S\u00e3o Paulo<\/p>\n<p>QP: \u00a0\u201cDificuldade para engolir&#8221;<\/p>\n<p>HPMA: \u00a0Paciente h\u00e1 2 anos com disfagia e impacta\u00e7\u00e3o alimentar. Refere quadro de pirose diariamente. Nega perda de peso.<\/p>\n<p>HPMP:\u00a0\u00a0 Asma (faz uso de cortic\u00f3ide inalat\u00f3rio)<\/p>\n<p>&nbsp;<\/p>\n<p>Endoscopia inicial demostrou os achados abaixo:<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/10\/Captura-de-Tela-2015-08-30-\u00e0s-12.44.28.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-2730\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2015-08-30-C3A0s-12.44.28.png\" alt=\"Captura de Tela 2015-08-30 \u00e0s 12.44.28\" width=\"398\" height=\"330\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Anatomopatol\u00f3gico das bi\u00f3psias:\u00a0esofagite cr\u00f4nica ulcerada com eosinofilia em l\u00e2mina pr\u00f3pria e intra-epitelial (at\u00e9 35 eosin\u00f3filos \/ campo de grande aumento)<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/10\/Captura-de-Tela-2015-08-30-\u00e0s-12.45.51.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone wp-image-2731\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2015-08-30-C3A0s-12.45.51.png\" alt=\"Captura de Tela 2015-08-30 \u00e0s 12.45.51\" width=\"404\" height=\"155\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Nova endoscopia ap\u00f3s 8 semanas de uso de IBP:<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/10\/Captura-de-Tela-2015-08-30-\u00e0s-12.49.23.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone wp-image-2733\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2015-08-30-C3A0s-12.49.23.png\" alt=\"Captura de Tela 2015-08-30 \u00e0s 12.49.23\" width=\"379\" height=\"306\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Bi\u00f3psia esof\u00e1gica proximal e distal: \u00a0\u00a0esofagite cr\u00f4nica moderada com 20 eosin\u00f3filos intraepiteliais \/ CGA<\/p>\n<p>Bi\u00f3psia de est\u00f4mago e duodeno: \u00a0aus\u00eancia de eosin\u00f3filos<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/10\/Captura-de-Tela-2015-08-30-\u00e0s-12.50.46.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2734\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2015-08-30-C3A0s-12.50.46.png\" alt=\"Captura de Tela 2015-08-30 \u00e0s 12.50.46\" width=\"382\" height=\"144\" \/><\/a><\/p>\n<p>CONCLUS\u00c3O: \u00a0confirmado o diagn\u00f3stico de esofagite eosinof\u00edlica<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>CASO 2<\/strong><\/p>\n<p>ID: DVO, 20 anos, masculino, solteiro, sem filhos, natural e procedente de S\u00e3o Paulo<\/p>\n<p>QP: \u00a0\u201cQueima\u00e7\u00e3o e dor no est\u00f4mago&#8221;<\/p>\n<p>HPMA: \u00a0Paciente h\u00e1 3 anos com quadro de pirose diariamente. Refere piora a noite e com a ingest\u00e3o de determinados alimentos. Nega perda de peso.<\/p>\n<p>HPMP:\u00a0\u00a0 Nega asma, rinite ou alergias<\/p>\n<p>&nbsp;<\/p>\n<p>Descri\u00e7\u00e3o do es\u00f4fago na endoscopia inicial:<\/p>\n<p>Mucosa esof\u00e1gica de aspecto edemaciado e espessado em toda a extens\u00e3o do \u00f3rg\u00e3o, apresentando estrias longitudinais e pontos de secre\u00e7\u00e3o muc\u00f3ide aderidos difusamente, sugestivos de processo inflamat\u00f3rio eosinof\u00edlico. Bi\u00f3psias.<\/p>\n<p>&nbsp;<\/p>\n<p>Histologia: esofagite cr\u00f4nica moderada com 20 eosin\u00f3filos intraepiteliais \/ CGA<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/10\/Captura-de-Tela-2015-08-30-\u00e0s-12.58.11.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-2736\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2015-08-30-C3A0s-12.58.11.png\" alt=\"Captura de Tela 2015-08-30 \u00e0s 12.58.11\" width=\"300\" height=\"223\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Exames laboratoriais: \u00a0 Leucograma: 7.650 \u00a0\/ \u00a0Eosin\u00f3filos: 24%<\/p>\n<p>Dosagem de IgE: 114 UI\/mL\u00a0\u00a0 (&lt;100 UI\/mL)<\/p>\n<p>&nbsp;<\/p>\n<p>Endoscopia ap\u00f3s 8 semanas de uso de IBP:<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/10\/Captura-de-Tela-2015-08-30-\u00e0s-13.02.36.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2738\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2015-08-30-C3A0s-13.02.36.png\" alt=\"Captura de Tela 2015-08-30 \u00e0s 13.02.36\" width=\"412\" height=\"346\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Histologia:<\/p>\n<p>Bi\u00f3psia esof\u00e1gica m\u00e9dio e proximal: \u00a0esofagite cr\u00f4nica inespec\u00edfica. Aus\u00eancia de eosin\u00f3filos neste material.<\/p>\n<p>Bi\u00f3psia de est\u00f4mago e duodeno: \u00a0\u00a0aus\u00eancia de eosin\u00f3filos<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/10\/Captura-de-Tela-2015-08-30-\u00e0s-13.05.32.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-2739\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2015-08-30-C3A0s-13.05.32.png\" alt=\"Captura de Tela 2015-08-30 \u00e0s 13.05.32\" width=\"300\" height=\"227\" \/><\/a><\/p>\n<p>CONCLUS\u00c3O: \u00a0eosinofilia esof\u00e1gica responsiva da IBP<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Caso 3<\/strong><\/p>\n<p>ID: HHS, 17 anos, masculino, estudante, solteiro, natural de Urussuca-BA e procedente de S\u00e3o Paulo<\/p>\n<p>QP: \u00a0\u201cEngasgo durante a alimenta\u00e7\u00e3o&#8221;<\/p>\n<p>HPMA: \u00a0Paciente refere disfagia intermitente h\u00e1 7 anos. Refere impacta\u00e7\u00e3o alimentar tendo que subir e descer escadas para aliviar os sintomas. Nega perda de peso.<\/p>\n<p>HPMP:\u00a0\u00a0 Rinite al\u00e9rgica. \u00a0Asma na inf\u00e2ncia.<\/p>\n<p>&nbsp;<\/p>\n<p>Descri\u00e7\u00e3o da endoscopia inicial:<\/p>\n<p>Es\u00f4fago: \u00a0mucosa com estrias enantem\u00e1ticas lineares, associado a aspecto de \u201ctraqueiza\u00e7\u00e3o\u201d em ter\u00e7o m\u00e9dio, sugestivos de esofagite eosinof\u00edlica. Bi\u00f3psias.<\/p>\n<p>&nbsp;<\/p>\n<p>Histologia: esofagite cr\u00f4nica com exocitose de eosin\u00f3filos (20 eosin\u00f3filos intraepiteliais \/ CGA)<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/10\/Captura-de-Tela-2015-08-30-\u00e0s-15.02.11.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-2742\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2015-08-30-C3A0s-15.02.11.png\" alt=\"Captura de Tela 2015-08-30 \u00e0s 15.02.11\" width=\"300\" height=\"223\" \/><\/a><\/p>\n<p>Exames laboratoriais:<\/p>\n<p>Leucograma: 5.480 \u00a0\/ \u00a0Eosin\u00f3filos: 12%<\/p>\n<p>IgE: 993 UI\/mL\u00a0\u00a0 (&lt;100 UI\/mL)<\/p>\n<p>&nbsp;<\/p>\n<p>Endoscopia ap\u00f3s 8 semanas de uso de IBP:<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/10\/Captura-de-Tela-2015-08-30-\u00e0s-15.03.47.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2743\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2015-08-30-C3A0s-15.03.47.png\" alt=\"Captura de Tela 2015-08-30 \u00e0s 15.03.47\" width=\"409\" height=\"183\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Histologia:<\/p>\n<p>Bi\u00f3psia esof\u00e1gica m\u00e9dio e proximal:\u00a0\u00a0esofagite cr\u00f4nica inespec\u00edfica. Aus\u00eancia de eosin\u00f3filos neste material.<\/p>\n<p>Bi\u00f3psia de est\u00f4mago e duodeno: \u00a0aus\u00eancia de eosin\u00f3filos<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/10\/Captura-de-Tela-2015-08-30-\u00e0s-15.07.36.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-2745\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-2015-08-30-C3A0s-15.07.36.png\" alt=\"Captura de Tela 2015-08-30 \u00e0s 15.07.36\" width=\"262\" height=\"300\" \/><\/a><\/p>\n<p>CONCLUS\u00c3O: eosinofilia esof\u00e1gica responsiva da IBP<\/p>\n<p>&nbsp;<\/p>\n<p><strong>DISCUSS\u00c3O:<\/strong><\/p>\n<ul>\n<li>Atualmente\u00a0foi relatada uma condi\u00e7\u00e3o chamada Eosinofilia esof\u00e1gica responsiva a IBP. \u00a0Esta \u00e9 caracterizada por pacientes sem DRGE (endoscopia e pHmetria) que apresentam sintomas de esofagite eosinofilica e que melhoram com uso de IBP<\/li>\n<li>Relata-se tamb\u00e9m que cerca de 30-50% dos pacientes com EEo respondem ao tratamento com IBP<\/li>\n<li>Estes dois grupos de pacientes s\u00e3o iguais clinicamente e histologicamente, e n\u00e3o possuem caracter\u00edsticas pr\u00f3prias para serem distinguidos<\/li>\n<li>Levanta-se a possibilidade de tratar-se da mesma patologia ou que os pacientes com eosinofilia responsiva ao IBP seriam na verdade pacientes que n\u00e3o foram diagnosticados corretamente para DRGE<\/li>\n<li>Relata-se tamb\u00e9m a poss\u00edvel a\u00e7\u00e3o\u00a0anti-inflamat\u00f3ria dos IBPs que poderiam melhorar a eosinofilia dos pacientes com esofagite eosinofilica<\/li>\n<\/ul>\n<p>Atrav\u00e9s destes conceitos podemos extrair que:<\/p>\n<p>&#8211;\u00a0Na suspeita de esofagite eosinof\u00edlica deve-se realizar as bi\u00f3psias de rotina antes e depois do uso de IBP, para o diagn\u00f3stico e avalia\u00e7\u00e3o de resposta ao IBP.<\/p>\n<p>&#8211; \u00a0O achado de melhora da eosinofilia ap\u00f3s 8 semanas de IBP, pode-se tratar de esofagite eosinof\u00edlica a qual teve melhora por uma outra a\u00e7\u00e3o do IBP que n\u00e3o da supress\u00e3o \u00e1cida, como uma a\u00e7\u00e3o anti-inflamat\u00f3ria por exemplo.<\/p>\n<p>&#8211; A DRGE ainda deve ser considerada mesmo com EDA e pHmetria normais. Nestes casos a realiza\u00e7\u00e3o de\u00a0\u00a0imped\u00e2ncio-pHmetria aumenta a sensibilidade do diagn\u00f3stico de DRGE \u00e1cida e avalia tamb\u00e9m o refluxo n\u00e3o \u00e1cido. Deve-se ter em mente que os exames de phmetria e principalmente de imped\u00e2cio-pHmetria s\u00e3o examinador dependente, sendo importante a realiza\u00e7\u00e3o dos mesmos por profissionais capacitados e com experi\u00eancia.<\/p>\n<p>&#8211; Independente da nomenclatura usada para a defini\u00e7\u00e3o da patologia (Eosinofilia responsiva a IBP x Esofagite eosinof\u00edlica) o tratamento inicial com IBP pode ser tentado como escolha terap\u00eautica inicial.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Linfoma MALT g\u00e1strico n\u00e3o associado a infec\u00e7\u00e3o pelo Helicobacter Pylori<\/p>\n","protected":false},"author":1772,"featured_media":3751,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[282],"tipo":[153],"volume":[147],"class_list":["post-3750","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-282","tipo-endoscopia-digestiva-alta","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Diagnosticando corretamente a esofagite eosinof\u00edlica &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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