Difference between revisions of "Herpes esophagitis"

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#redirect [[Esophagus#Herpes_esophagitis]]
'''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]]

Latest revision as of 02:47, 3 April 2014

Herpes esophagitis is an inflammation of the esophagus due to herpes simplex virus.

General

  • Usually immunodeficient.[1]

Etiology:

Gross/endoscopic

Features:

  • Ulcers with a "punched-out" appearance with a brown/red edge.

Images

www:

Microscopic

Features (3 Ms):

  • Moulding.
  • Multinucleation.
  • Margination of chromatin.

Images

IHC

  • HSV-1 +ve.[2]
    • Occasionally HSV-2 +ve.

See also

References

  1. Monsanto, P.; Almeida, N.; Cipriano, MA.; Gouveia, H.; Sofia, C. (Sep 2012). "Concomitant herpetic and eosinophilic esophagitis--a causality dilemma.". Acta Gastroenterol Belg 75 (3): 361-3. PMID 23082710.
  2. Canalejo Castrillero, E.; García Durán, F.; Cabello, N.; García Martínez, J. (Jul 2010). "Herpes esophagitis in healthy adults and adolescents: report of 3 cases and review of the literature.". Medicine (Baltimore) 89 (4): 204-10. doi:10.1097/MD.0b013e3181e949ed. PMID 20616659.