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Updated: Oct 26 2018

Esophagitis

  • Corrosive Esophagitis
    • Caused by ingestion of strongly acidic or basic chemical
      • Lye, HCl
    • Results in
      • esophageal perforation
      • esophageal stricture formation
  • Infectious Esophagitis
    • Commonly seen in AIDS patients
    • May be viral or fungal
      • HSV-1
        • mutiple punched-out ulcers throughout esophagus with normal mucousa
          • ulcers can coalese and form "black esophagus"
        • histology will show eosinophilic intranuclear inclusions (Cowdry type A) and multinucleated squamous cells surrounding the ulcers on biopsy
      • CMV
        • single, large, shallow, linear ulcer
    • Odynophagia is main symptom
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