{"id":2,"date":"2015-11-05T19:40:01","date_gmt":"2015-11-05T19:40:01","guid":{"rendered":"http:\/\/labs.icahn.mssm.edu\/chehadelab\/?page_id=2"},"modified":"2025-02-18T17:43:31","modified_gmt":"2025-02-18T22:43:31","slug":"msced","status":"publish","type":"page","link":"https:\/\/labs.icahn.mssm.edu\/chehadelab\/msced\/","title":{"rendered":"Home"},"content":{"rendered":"<h2 style=\"text-align: center\"><span style=\"text-decoration: underline\"><span style=\"color: #333399\"><strong>Mount Sinai Center for Eosinophilic Disorders (MSCED)<\/strong><\/span><\/span><\/h2>\n<h4><\/h4>\n<p><span data-contrast=\"none\"><a href=\"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2025\/02\/CRTV-10967-MSHS_Center_for_Eosinophilic-Disorders-color.png\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-1012 aligncenter\" src=\"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2025\/02\/CRTV-10967-MSHS_Center_for_Eosinophilic-Disorders-color-300x297.png\" alt=\"\" width=\"198\" height=\"196\" srcset=\"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2025\/02\/CRTV-10967-MSHS_Center_for_Eosinophilic-Disorders-color-300x297.png 300w, https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2025\/02\/CRTV-10967-MSHS_Center_for_Eosinophilic-Disorders-color-1024x1015.png 1024w, https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2025\/02\/CRTV-10967-MSHS_Center_for_Eosinophilic-Disorders-color-768x761.png 768w, https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2025\/02\/CRTV-10967-MSHS_Center_for_Eosinophilic-Disorders-color-1536x1523.png 1536w, https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2025\/02\/CRTV-10967-MSHS_Center_for_Eosinophilic-Disorders-color-2048x2030.png 2048w\" sizes=\"auto, (max-width: 198px) 100vw, 198px\" \/><\/a><\/span><\/p>\n<h4><b><span data-contrast=\"none\">About Us<\/span><\/b><\/h4>\n<p><span data-contrast=\"none\">The Mount Sinai Center for Eosinophilic Disorders (MSCED) is a comprehensive center that focuses on the diagnosis, treatment, and research of eosinophilic gastrointestinal disorders (EGIDs), including eosinophilic esophagitis (EoE), eosinophilic gastritis (EG), eosinophilic enteritis (EoN), and eosinophilic colitis (EoC). EGIDs are chronic inflammatory diseases of various parts of the gut, where one type of white blood cell, eosinophil, infiltrates the inner lining along with other immune cells, causing symptoms. EGIDs affect both children and adults.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Symptoms of EoE include difficulty swallowing foods and a history of food getting stuck in the esophagus, but at times can be non-specific such as stomach pain, gastroesophageal reflux symptoms, and vomiting, especially in children, leading to a misdiagnosis of acid-induced gastroesophageal reflux disease.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Patients with EGIDs below the esophagus, present with symptoms related to the organ affected. Examples include stomach pain and vomiting in patients with EoG and stomach pain, vomiting and diarrhea in patients with EGE and EoN. Diarrhea and blood in the stools can also occur in EoC. Since these symptoms can occur in other gastrointestinal diseases, patients with EGIDs are at times misdiagnosed as having other gastrointestinal diseases as well, such as acid-induced gastritis, irritable bowel syndrome, and inflammatory bowel disease. Children with EGIDs can suffer from failure to thrive, which is fortunately reversible with proper treatment of the underlying inflammation.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">At the MSCED, we believe that patients with EGIDs have specific needs that are best treated by a team approach to management. Working closely together, our team will help the patient and family determine a diagnosis and set up a treatment plan which can include special diets, medications, and counseling. Dietary and feeding support are provided for every patient whose condition or treatment requires it. In addition, cutting-edge therapies are being provided at our center, mostly in the context of clinical research trials, for patients who do not respond to standard-of-care therapies or would like to stop these therapies because of side effects.<\/span><span data-contrast=\"none\">\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Since EGIDs are newly recognized diseases, there is not a lot of information as to what causes them. MSCED\u2019s director, Dr. Mirna Chehade, MD, MPH, is one of the leading researchers of eosinophilic gastrointestinal disorders publishing a number of papers and spearheading a number of research projects to further understand how these diseases occur and explore novel therapies for EGIDs.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<h4><b><span data-contrast=\"none\">Clinical focus of the MSCED:<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/h4>\n<ul>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Eosinophilic esophagitis<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Eosinophilic gastritis\u00a0<\/span><\/li>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Eosinophilic enteritis<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Eosinophilic colitis<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0The MSCED works in conjunction with <em>Jaffe Food Allergy Institute\u00a0<\/em>and <em>Icahn School of Medicine at Mount Sinai.<\/em><\/span><\/p>\n<p><b><span data-contrast=\"none\">What is Eosinophilic Esophagitis (EoE)?\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Eosinophilic Esophagitis is the most common disease of a rare set of eosinophilic disorders. EoE occurs when the body responds to an environmental or dietary trigger, commonly cow\u2019s milk, by producing an abundance of allergic cells called eosinophilia. These cells may travel through the body to a number of parts of the body, including the stomach, small intestines, or the esophagus, resulting in inflammation of that part. When in the esophagus, the eosinophils cause inflammation, irritation, and if left untreated, scarring and narrowing of the esophagus. All of which may lead to certain symptoms. These symptoms include dysphagia, food impactions, esophageal spasms, heartburn, regurgitation, loss of appetite, early satiety, nausea, vomiting, and abdominal pain. Additionally, the individual may develop precautionary eating habits such as prolonged chewing, taking smaller bites, and drinking with every bite. The diagram below demonstrates the disease in action.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<div id=\"attachment_897\" class=\"wp-caption aligncenter\" style=\"width: 646px\"><a href=\"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/EoE-Mechanism-1.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-897 size-large\" src=\"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/EoE-Mechanism-1-1024x522.png\" alt=\"This image shows the mechanism by which eosinophils act in the body.\" width=\"646\" height=\"329\" srcset=\"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/EoE-Mechanism-1-1024x522.png 1024w, https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/EoE-Mechanism-1-300x153.png 300w, https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/EoE-Mechanism-1-768x391.png 768w, https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/EoE-Mechanism-1.png 1280w\" sizes=\"auto, (max-width: 646px) 100vw, 646px\" \/><\/a><p class=\"wp-caption-text\">(This image was adapted from Figure 2 of Bredenoord, A.,&#8230;Chehade, M. et al. 2022.)<\/p><\/div>\n<p><span data-contrast=\"none\">It is important to noted that EoE may present differently in each individual, some may present with all of the symptoms described above, some may have a symptom entirely unique to themselves, and others may be entirely symptomatic from a clinical perspective. For this reason, as well as general management of the disease, annual or biannual (meaning once every two years), upper endoscopies are recommended to evaluate the state of the disease and the efficacy of the current treatment therapy. An endoscopy may reveal the disease is active despite no clinical correlation. The images below show effected esophaguses.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<div id=\"attachment_898\" class=\"wp-caption aligncenter\" style=\"width: 646px\"><a href=\"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/Esophagus.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-898 size-large\" src=\"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/Esophagus-1024x589.jpg\" alt=\"This image shows various esophaguses as effected by EoE. \" width=\"646\" height=\"372\" srcset=\"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/Esophagus-1024x589.jpg 1024w, https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/Esophagus-300x173.jpg 300w, https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/Esophagus-768x442.jpg 768w, https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/Esophagus.jpg 1333w\" sizes=\"auto, (max-width: 646px) 100vw, 646px\" \/><\/a><p class=\"wp-caption-text\">(EoE endoscopic features. (a) Normal esophagus, (b) white pinpoint exudate, (c) concentric rings and linear furrows, (d) linear furrows, (e) concentric rings, and (f) longitudinal tear. EoE, eosinophilic esophagitis. Picture and caption from Bredenoord, A.,&#8230;Chehade, M. et al. 2022.)<\/p><\/div>\n<p><span data-contrast=\"none\">Currently, only dupilumab has been FDA approved to treat EoE in individuals 12 years old and older, by 300mg weekly subcutaneous injections. However, EoE has also been treated with swallowed topical corticosteroids such as Flovent and Budesonide. Certain proton pump-inhibitors have also been used to address acid-induced inflammation in EoE patients. Lastly, dietary therapy, including empirical and targeted elimination diets, have been used to manage eosinophilic esophagitis, both alone and in combination with the medications mentioned here. Often these diets include the removal of one or more of the 4 to 8 top allergens, including dairy, gluten, soy, egg, peanuts, tree nuts, fish, and shellfish.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<div id=\"attachment_899\" class=\"wp-caption aligncenter\" style=\"width: 440px\"><a href=\"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/T8-Food-Allergies.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-899 \" src=\"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-content\/uploads\/sites\/146\/2022\/12\/T8-Food-Allergies-816x1024.jpg\" alt=\"This diagram identifies the top 8 food allergies. \" width=\"440\" height=\"584\" \/><\/a><p class=\"wp-caption-text\">(Creative Commons Copyright)<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Mount Sinai Center for Eosinophilic Disorders (MSCED) About Us The Mount Sinai Center for Eosinophilic Disorders (MSCED) is a comprehensive center that focuses on the diagnosis, treatment, and research of eosinophilic gastrointestinal disorders (EGIDs), including eosinophilic esophagitis (EoE), eosinophilic gastritis (EG), eosinophilic enteritis (EoN), and eosinophilic colitis (EoC). EGIDs are chronic inflammatory diseases of various [&hellip;]<\/p>\n","protected":false},"author":88,"featured_media":0,"parent":0,"menu_order":1,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-2","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-json\/wp\/v2\/pages\/2","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-json\/wp\/v2\/users\/88"}],"replies":[{"embeddable":true,"href":"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-json\/wp\/v2\/comments?post=2"}],"version-history":[{"count":33,"href":"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-json\/wp\/v2\/pages\/2\/revisions"}],"predecessor-version":[{"id":1026,"href":"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-json\/wp\/v2\/pages\/2\/revisions\/1026"}],"wp:attachment":[{"href":"https:\/\/labs.icahn.mssm.edu\/chehadelab\/wp-json\/wp\/v2\/media?parent=2"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}