Acute esophagitis

Acute esophagitis
External resources
EHVSC	10168

Acute esophagitis occasionally afflicits the esophagus.

General

• Benign.
• Usually older men.
• Classically present with bleeding.

Microscopic

Features:

• Intraepithelial neutrophils - key feature.
• Basal cell hyperplasia.
• 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:

• Candida esophagitis.
• Herpes esophagitis.

Stains

• PAS-D stain -ve for fungal organisms.
• GMS stain -ve for fungal organisms.

IHC

• CMV -ve.
• HSV1 -ve.
• HSV2 -ve.

Sign out

ESOPHAGUS, BIOPSY:
- ACUTE ESOPHAGITIS.
-- NO FUNGAL ORGANISMS IDENTIFIED WITH PAS-D AND GMS STAINING.
- NO COLUMNAR EPITHELIUM IDENTIFIED.
- NEGATIVE FOR DYSPLASIA.

See also

• Esophagitis.
• Esophagus.