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Watermelon esophagus: a new visual paradigm

机译:西瓜食道:一种新的视觉范式

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A 35-year-old male with no prior medical history presented for evaluation of multi-year history of dysphagia to both solids and liquids. He underwent esophagogastroduodenoscopy revealing linear furrows with ring-like esophagus. Pathology of biopsies showed findings consistent with eosinophilic esophagitis (EoE). This is a newly recognized disease entity with a rapidly increasing prevalence that cannot be entirely accounted for by the increasing awareness in medicine. All patients with clinical suspicion of EoE should undergo esophageal biopsies regardless of endoscopic findings, as normal endoscopy can be seen in up to 17% of cases. Numerous non-specific endoscopic findings have been described, including trachealization, felinization, linear furrows, crepe paper mucosa, and longitudinal shearing. We present a unique and neverbefore seen image of EoE that accentuates the findings that may be seen endoscopically
机译:一名35岁男性,既往无病史,用于评估固体和液体吞咽困难的多年病史。他接受了食管胃十二指肠镜检查,发现有环形食道的线性沟。活检病理显示发现与嗜酸性食管炎(EoE)相符。这是一种新近认识到的疾病实体,其流行率迅速增加,而医学认识的提高无法完全解释这一点。无论是否有内镜检查结果,所有临床怀疑有EoE的患者都应进行食管活检,因为在多达17%的病例中可以看到正常的内窥镜检查。已经描述了许多非特异性内窥镜检查结果,包括气管化,女​​性化,线状沟,皱纹纸粘膜和纵向剪切。我们呈现了一个独特的,从未见过的EoE图像,该图像突显了在内窥镜下可能看到的发现

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