Steroids in pediatric eosinophilic esophagitis.

[cushing syndrome]

Swallowed fluticasone and oral viscous budesonide are effective first -line therapies for eosinophilic esophagitis in children . Side effects are minimal without evidence of Cushing syndrome , as seen in treatment with systemic corticosteroids . New studies on alternative delivery systems and different corticosteroids (eg , ciclesonide ) are encouraging . As knowledge of corticosteroids in eosinophilic esophagitis expands , newer questions continue to arise concerning dose , delivery , and choice of corticosteroids ; long -term adverse effects ; and maintenance therapies .