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Advances in diagnostic tools, including the EoE Endoscopic Reference Score and the Eosinophilic Esophagitis Histologic Scoring System, have improved disease characterization and monitoring. First-line treatments, such as proton pump inhibitors and topical corticosteroids, achieve significant histological and clinical remission rates. Dietary approaches, including the six-food elimination diet and step-up strategies, provide effective non-pharmacological options, although adherence remains a challenge. Esophageal dilation is a safe and effective therapy for relieving symptoms of dysphagia caused by strictures. Emerging biological therapies, such as dupilumab, show promise for targeting specific inflammatory pathways and addressing refractory cases. 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