Topical budesonide has considerable effects in eosinophilic esophagitis. Increased levels of eosinophils in the CSF is a hallmark of the eosinophilic meningitis. Feline eosinophilic granuloma complex is synonymous with "feline eosinophilic skin diseases". The conditions eosinophilic ulcer and necrotizing sialometaplasia may present as oral ulceration. It is also known as atrophic myositis or eosinophilic myositis. However, as a case of eosinophilic meningitis progresses, intracranial pressure and eosinophil counts should rise. Symptoms in eosinophilic myocarditis are highly variable. Definitive diagnosis involves histological evidence of eosinophilic infiltration in biopsy slides. Two related conditions are atopic cough and eosinophilic bronchitis. Some cells may be smaller, with eosinophilic cytoplasm, resembling normal tubular cells. Syncytiotrophoblasts are large multi-nucleated cells with eosinophilic cytoplasm. The presentation of eosinophilic fasciitis is similar to scleroderma or systemic sclerosis. The removal of food allergens from the diet is included to help treat eosinophilic esophagitis. When examined, cells with abundant granular eosinophilic and small eccentric nuclei are found. See causes of eosinophilic myocarditis for further details.