Topical steroid therapy for eosinophilic esophagitis
Question:
3/19/2020
I have a 20 year-old male referred by GI for EOE. He presented with food impactions and has already had 2 scopes. Second EGD after initiation of Pantoprazole 40mg daily. Both EGDs had > 60-80 EOS/HPF. He has no interest in trying even a two food elimination diet at this time. Would it be appropriate to start Flovent 220 therapy during this Coronavirus pandemic? Will the high dose topical steroid given orally even with good rinsing of the mouth put this young man a greater risk for more severe disease if he were exposed to the virus?