Updated: 10/26/2018

Esophagitis

0%
Topic
Review Topic
0
0
N/A
N/A
Questions
1
0
0
0%
0%
Evidence
2
0
0
Topic
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
    • Candida
  • Odynophagia is main symptom

Please rate topic.

Average 3.6 of 9 Ratings

Questions (1)

(M1.GI.15.37) A 28-year-old Caucasian male with a history of oral thrush presents to the gastroenterologist with painful swallowing Image (Figure A). An endoscopy is performed, which reveals "punched out" ulcerations on the esophagus (Figure B). Biopsy of one ulceration reveals eosinophilic intranuclear inclusions and multinucleated squamous cells at the edges of the ulcer. What is the most likely cause of this patient's dysphagia?

QID: 101094
FIGURES:
1

Esophageal carcinoma

8%

(5/65)

2

Candida

26%

(17/65)

3

Cytomegalovirus

12%

(8/65)

4

Herpes simplex virus 1

48%

(31/65)

5

Cryptosporidium

2%

(1/65)

M 2 D

Select Answer to see Preferred Response

Evidence (2)
EXPERT COMMENTS (6)
Private Note