Herpes esophagitis: Difference between revisions
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{{ Infobox diagnosis | |||
| Name = {{PAGENAME}} | |||
| Image = Herpes_esophagitis_-_very_high_mag.jpg | |||
| Width = | |||
| Caption = Herpes esophagitis | |||
| Synonyms = | |||
| Micro = nuclear moulding, multinucleation, margination of chromatin | |||
| Subtypes = | |||
| LMDDx = | |||
| Stains = | |||
| IHC = HSV-1 +ve | |||
| EM = | |||
| Molecular = | |||
| IF = | |||
| Gross = | |||
| Grossing = | |||
| Staging = | |||
| Site = [[esophagus]] | |||
| Assdx = | |||
| Syndromes = | |||
| Clinicalhx = usually immune deficient | |||
| Signs = | |||
| Symptoms = | |||
| Prevalence = rare | |||
| Bloodwork = | |||
| Rads = | |||
| Endoscopy = punched-out ulcers with brown/red edge | |||
| Prognosis = | |||
| Other = | |||
| ClinDDx = | |||
| Tx = | |||
}} | |||
'''Herpes esophagitis''' is an inflammation of the [[esophagus]] due to [[herpes simplex virus]]. | |||
==General== | |||
*Usually immunodeficient.<ref name=pmid23082710>{{Cite journal | last1 = Monsanto | first1 = P. | last2 = Almeida | first2 = N. | last3 = Cipriano | first3 = MA. | last4 = Gouveia | first4 = H. | last5 = Sofia | first5 = C. | title = Concomitant herpetic and eosinophilic esophagitis--a causality dilemma. | journal = Acta Gastroenterol Belg | volume = 75 | issue = 3 | pages = 361-3 | month = Sep | year = 2012 | doi = | PMID = 23082710 }}</ref> | |||
Etiology: | |||
*[[Herpes simplex virus]]. | |||
==Gross/endoscopic== | |||
Features: | |||
*Ulcers with a "punched-out" appearance with a brown/red edge. | |||
===Images=== | |||
<gallery> | |||
Image:Herpes_esophagitis.JPG | Herpes esophagitis - endoscopy. (WC) | |||
</gallery> | |||
www: | |||
*[http://library.med.utah.edu/WebPath/GIHTML/GI003.html Herpes esophagitis - gross (utah.edu)]. | |||
*[http://www.gastrohep.com/images/image.asp?id=648 Herpes esophagitis - endoscopy (gastrohep.com)]. | |||
==Microscopic== | |||
Features (3 Ms): | |||
*'''M'''oulding. | |||
*'''M'''ultinucleation. | |||
*'''M'''argination of chromatin. | |||
===Images=== | |||
<gallery> | |||
Image:Herpes_esophagitis_-_very_high_mag.jpg | HSV esophagitis - very high mag. (WC/Nephron) | |||
Image:Herpes_esophagitis_-_intermed_mag.jpg | HSV esophagitis - intermed. mag. (WC/Nephron) | |||
</gallery> | |||
==IHC== | |||
*HSV-1 +ve.<ref name=pmid20616659>{{Cite journal | last1 = Canalejo Castrillero | first1 = E. | last2 = García Durán | first2 = F. | last3 = Cabello | first3 = N. | last4 = García Martínez | first4 = J. | title = Herpes esophagitis in healthy adults and adolescents: report of 3 cases and review of the literature. | journal = Medicine (Baltimore) | volume = 89 | issue = 4 | pages = 204-10 | month = Jul | year = 2010 | doi = 10.1097/MD.0b013e3181e949ed | PMID = 20616659 }}</ref> | |||
**Occasionally HSV-2 +ve. | |||
==See also== | |||
*[[Esophagus]]. | |||
==References== | |||
{{Reflist|2}} | |||
[[Category:Diagnosis]] | |||
[[Category:Esophagus]] | |||