Endoscopic image of eosinophilic esophagitis

This upper endoscopy in a 36-year-old man with dysphagia showed multiple rings in the proximal to mid esophagus, giving it the appearance of a trachea. Small whitish papules are also visible representing eosinophilic abscesses on histology. The patient's symptoms responded to swallowed (ie, topical) fluticasone.