case_images: PMC9382070_01
case_images: Polyp located in distal esophagus near gastroesophageal junction prior to
  starting treatment. Note typical mucosal findings of EoE surrounding the
  polyp which include furrowing and edema.
case_images: 10.1177_2050313X221116954-fig1.jpg
case_images: PMC9382070_01_10.1177_2050313X221116954-fig1.jpg
case_images: fig1-2050313X221116954
case_images: The endoscopy revealed esophageal edema, furrowing of the mucosa, and an esophageal polyp in the distal esophagus near the gastroesophageal junction (Figure 1).
case_images: Histology of the esophagus before treatment. Blue arrows indicate
  eosinophils. Proximal esophagus (a) contained greater than 80 eosinophils
  per high-power field. Distal esophagus (b) contained greater than 60
  eosinophils per high-power field ((a) and (b) resolution 200x).
case_images: 10.1177_2050313X221116954-fig2.jpg
case_images: PMC9382070_01_10.1177_2050313X221116954-fig2.jpg
case_images: fig2-2050313X221116954
case_images: Biopsies obtained showed significant esophagitis with greater than 60 eosinophils per high-power field (eos/hpf) in the distal esophagus and greater than 80 eos/hpf in the mid-upper esophagus (Figure 2).
case_images: Histology of the polyp before treatment. Blue arrows indicate eosinophils,
  with maximum 7 eosinophils per high-power field. Ulcerations, fungus, and
  viral inculsions were not seen. No glandular mucosa was present (resolution
  (a) 20x, (b) 200x).
case_images: 10.1177_2050313X221116954-fig3.jpg
case_images: PMC9382070_01_10.1177_2050313X221116954-fig3.jpg
case_images: fig3-2050313X221116954
case_images: A total of 7 eos/hpf was noted in the esophageal polyp (Figure 3).
case_images: Histology of the esophagus after treatment. Blue arrows indicate eosinophils.
  Proximal esophagus (a) contained 1 eosinophils per high-power field. Distal
  esophagus (b) contained 1 per high-power field ((a) and (b) resolution
  200x).
case_images: 10.1177_2050313X221116954-fig4.jpg
case_images: PMC9382070_01_10.1177_2050313X221116954-fig4.jpg
case_images: fig4-2050313X221116954
case_images: The histology showed 1 eos/hpf in both the distal and mid-upper esophagus (Figure 4), and persistent 7 eos/hpf in the esophageal polyp (Figure 5).
case_images: Histology of the polyp post treatment with proton pump inhibitor and
  swallowed steroids. Blue arrows indicated eosinophils, with maximum 7
  eosinophils per high-power field. Ulcerations, fungus, and viral inclusions
  were not seen. No glandular mucosa was present (resolution (a) 20x, (b)
  200x).
case_images: 10.1177_2050313X221116954-fig5.jpg
case_images: PMC9382070_01_10.1177_2050313X221116954-fig5.jpg
case_images: fig5-2050313X221116954
case_images: The histology showed 1 eos/hpf in both the distal and mid-upper esophagus (Figure 4), and persistent 7 eos/hpf in the esophageal polyp (Figure 5).
case_images: Polyp located in distal esophagus near gastroesophageal junction, has
  flattened and reduced in size after treatment with proton pump inhibitor and
  swallowed steroids.
case_images: 10.1177_2050313X221116954-fig6.jpg
case_images: PMC9382070_01_10.1177_2050313X221116954-fig6.jpg
case_images: fig6-2050313X221116954
case_images: However, the polyp has reduced in size since the last procedure (Figure 6).