Maintenance therapy with the lowest effective dose of oral viscous budesonide in children with eosinophilic esophagitis

Eosinophilic esophagitis (EoE) is an immune-mediated condition characterized by symptoms of esophageal dysfunction and an eosinophilic inflammation of the esophagus. Swallowed topical steroids represent one of the possible strategies for inducing and maintaining remission in EoE. To date, a validated maintenance strategy has yet to be defined, especially in children. The available evidence suggests decreasing the dose after a successful induction therapy. No study has reported the efficacy of a continuous progressive dose reduction; thus, it is unknown if all patients need to use the same dosages and for how long.