The patient undergoes upper endoscopy (EGD). Here are the findings:
Next, the esophagus was thoroughly evaluated. Here are some images:
Which of the following features do you see?
Esophageal rings (“trachealization”)
Correct!
Mucosal Edema
Correct!
Schatzki Ring
Incorrect.
Esophageal Web
Incorrect.
Longitudinal Furrows
Correct!
Candidal Plaques
Incorrect.
Pathology:
Mucosal Biopsies were taken from both the proximal and distal esophagus.
Histologic analysis of the biopsies revealed squamous mucosa with > 30 eosinophils per high powered field, eosinophilic microabscesses, lamina propria fibrosis and basal cell hyperplasia.
See the labelled figures below to better understand each of these findings.
Click Here to reveal the diagnosis and close out the case!
Case 8 Index:
Introduction
Physical Exam
Differential Diagnosis
Diagnostic Testing
GI SIM 