1747 Rare Case of Esophagitis Dissecans Superficialis Mimicking Eosinophilic Esophagitis Treated With PPI

Esophagitis dissecans superficialis.

c t g w m h e a e A 59-year-old woman was evaluated for dysphagia and odynophagia. She had undergone double lung transplantation 3 months earlier for hypersensitivity pneumonitis complicated by respiratory failure. At the time of endoscopy, her immunosuppressive medications consisted of tacrolimus, azathioprine, and prednisone. In addition to her immunosuppression regimen, she was taking an ora...

Lymphocytic esophagitis mimicking eosinophilic esophagitis

A 74-year-old male with a history of dysphagia for 3 years presented with acute food impaction. Endoscopy showed a tight distal stricture with course rings at the middle third of the esophagus. Biopsies taken from the middle third of the esophagus showed marked infiltration of the intraepithelial lymphocytes mainly in a peripapillary distribution. The immunostains showed presence of CD3 and CD5...

Bullous Pemphigoid Presenting with Esophagitis Dissecans Superficialis

An 87-year-old woman was admitted with a more than 6month history of an exacerbation of bullae. Edematous erythema and bullae were scattered throughout her extremities and trunk (Picture 1A). Serum autoantibodies against the BP-180 antigen were found. Histopathology confirmed a diagnosis of bullous pemphigoid (Picture 1B). She developed hematemesis on the fourth day after admission. Upper endos...

Esophagitis dissecans superficialis associated with bisphosphonates.

Esophagitis dissecans associated with eosinophilic esophagitis in an adolescent

Esophagitis dissecans superficialis and eosinophilic esophagitis are distinct esophageal pathologies with characteristic clinical and histologic findings. Esophagitis dissecans superficialis is a rare finding on endoscopy consisting of the peeling of large fragments of esophageal mucosa. Histology shows sloughing of the epithelium and parakeratosis. Eosinophilic esophagitis is an allergic disea...