Acute esophagitis: Difference between revisions
Jump to navigation
Jump to search
split out |
|||
| (3 intermediate revisions by the same user not shown) | |||
| Line 8: | Line 8: | ||
'''Acute esophagitis''' occasionally afflicits the [[esophagus]]. | '''Acute esophagitis''' occasionally afflicits the [[esophagus]]. | ||
==General== | |||
*Benign. | *Benign. | ||
*Usually older men.<ref name=pmid23831655>{{Cite journal | last1 = Kawauchi | first1 = H. | last2 = Ohta | first2 = T. | last3 = Matsubara | first3 = Y. | last4 = Yoshizaki | first4 = K. | last5 = Sakamoto | first5 = J. | last6 = Amitsuka | first6 = H. | last7 = Kimura | first7 = K. | last8 = Maemoto | first8 = A. | last9 = Orii | first9 = F. | title = Clinicopathological study of acute esophageal mucosal lesion. | journal = Nihon Shokakibyo Gakkai Zasshi | volume = 110 | issue = 7 | pages = 1249-57 | month = Jul | year = 2013 | doi = | PMID = 23831655 }}</ref> | |||
*Classically present with bleeding.<ref name=pmid23831655/> | |||
==Microscopic== | |||
Features: | Features: | ||
*Intraepithelial [[neutrophil]]s - '''key feature'''. | *Intraepithelial [[neutrophil]]s - '''key feature'''. | ||
*Basal cell hyperplasia. | *Basal cell hyperplasia. | ||
*No infectious agent identified - '''important'''. | *No infectious agent identified - '''important'''. | ||
Note: | |||
*One should: | |||
**Do stains to exclude fungal organisms. | |||
**Check the history for immune deficiency - if this isn't on the provided history. | |||
DDx: | DDx: | ||
| Line 21: | Line 28: | ||
*[[Herpes esophagitis]]. | *[[Herpes esophagitis]]. | ||
==Stains== | |||
*[[PAS-D stain]] -ve for fungal organisms. | *[[PAS-D stain]] -ve for fungal organisms. | ||
*[[GMS stain]] -ve for fungal organisms. | *[[GMS stain]] -ve for fungal organisms. | ||
===Sign out | ==IHC== | ||
*CMV -ve. | |||
*HSV1 -ve. | |||
*HSV2 -ve. | |||
==Sign out== | |||
<pre> | <pre> | ||
ESOPHAGUS, BIOPSY: | ESOPHAGUS, BIOPSY: | ||
| Line 37: | Line 49: | ||
*[[Esophagitis]]. | *[[Esophagitis]]. | ||
*[[Esophagus]]. | *[[Esophagus]]. | ||
==References== | |||
{{Reflist|1}} | |||
[[Category:Diagnosis]] | [[Category:Diagnosis]] | ||