Difference between revisions of "Herpes esophagitis"
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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:Diagnosis]] | ||
[[Category:Esophagus]] | |||
Latest revision as of 21:28, 6 March 2025
Herpes esophagitis is an inflammation of the esophagus due to herpes simplex virus.
| Herpes esophagitis | |
|---|---|
| Diagnosis in short | |
 Herpes esophagitis | |
|
| |
| LM | nuclear moulding, multinucleation, margination of chromatin |
| IHC | HSV-1 +ve |
| Site | esophagus |
|
| |
| Clinical history | usually immune deficient |
| Prevalence | rare |
| Endoscopy | punched-out ulcers with brown/red edge |
General
- Usually immunodeficient.[1]
Etiology:
Gross/endoscopic
Features:
- Ulcers with a "punched-out" appearance with a brown/red edge.
Images
Herpes esophagitis - endoscopy. (WC)
www:
Microscopic
Features (3 Ms):
- Moulding.
- Multinucleation.
- Margination of chromatin.
Images
HSV esophagitis - very high mag. (WC/Nephron)
HSV esophagitis - intermed. mag. (WC/Nephron)
IHC
- HSV-1 +ve.[2]
- Occasionally HSV-2 +ve.
See also
References
- ↑ 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.
- ↑ 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.