A 9-year-old boy is brought to the office by his lather for evaluation of chest and abdominal discomfort. For the past several months,
the patient has felt a “burning” sensation in his chest alter eating. He was evaluated 6 weeks ago and had a normal examination and
was prescribed a proton-pump inhibitor, which he has been taking daily. The patient says the medication doesn’t seem to help, and
now he has stomach aches alter eating. Hi s typical diet consists of soft foods, such as yogurt and mashed potatoes, and he tries to
avoid solid foods due to stomach pain. He has also vomited a few times alter eating, but his father is not sure if that was due to a
specific food. The patient drinks water and no juice or soda. Temperature is 37 C (98.6 F). Physical examination shows eczematous
patches on bilateral antecubital lossae and behind both knees. Endoscopy shows circular rings and thickened, linear furrowing of the
esophagus. Histology results are pending. Which of the following is the most likely diagnosis?
- 0 A. Achalasia
- 0 8. Eosinophilic esophagitis
- 0 C . Foreign body ingestion
- 0 0. Gastroesophageal reflux disease
- 0 E. Retropharyngeal abscess
- 0 F. Vascular ring
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