REVIEW  NOVEL INSIGHTS INTO PEDIATRIC ALLERGY AND IMMUNOLOGY Free access

Minerva Pediatrica 2020 October;72(5):424-32

DOI: 10.23736/S0026-4946.20.05913-7

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Behavioral issues and quality of life in children with eosinophilic esophagitis

Martina VOTTO ¹ ✉, Riccardo CASTAGNOLI ¹, Maria DE FILIPPO ¹, Ilaria BRAMBILLA ¹, Caterina CUPPARI ², Gian Luigi MARSEGLIA ¹, Amelia LICARI ¹

¹ Department of Pediatrics, IRCCS San Matteo Polyclinic Foundation, University of Pavia, Pavia, Italy; ² Unit of Pediatric Emergency, Department of Adult and Childhood Human Pathology, University Hospital of Messina, Messina, Italy

Eosinophilic esophagitis (EoE) is a chronic disease characterized by symptoms related to esophageal dysfunction and eosinophil-predominant inflammation (≥15 eosinophils/high power field). In the last ten years, several epidemiological studies showed a significant increase in the incidence and prevalence of EoE, especially in children in Western Countries. Although EoE often presents with gastrointestinal symptoms, adults and children may develop extraintestinal symptoms and behavioral issues. Also, the chronic nature of the disease, long-term therapies, and strict follow-up may impair the quality of life of patients and their family. This review summarizes current knowledge on the behavioral and psychosocial issues and quality of life of children and adolescents with EoE and their caregivers.

KEY WORDS: Eosinophilic esophagitis; Child; Quality of life; Mood disorders