Difference between revisions of "Acute esophagitis"

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*Basal cell hyperplasia.
*Basal cell hyperplasia.
*No infectious agent identified - '''important'''.
*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:
DDx:
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*[[PAS-D stain]] -ve for fungal organisms.
*[[PAS-D stain]] -ve for fungal organisms.
*[[GMS stain]] -ve for fungal organisms.
*[[GMS stain]] -ve for fungal organisms.
==IHC==
*CMV -ve.
*HSV1 -ve.
*HSV2 -ve.


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Latest revision as of 13:07, 23 October 2015

Acute esophagitis
External resources
EHVSC 10168

Acute esophagitis occasionally afflicits the esophagus.

General

  • Benign.
  • Usually older men.[1]
  • Classically present with bleeding.[1]

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:

Stains

IHC

  • CMV -ve.
  • HSV1 -ve.
  • HSV2 -ve.

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

See also

References

  1. ↑ 1.0 1.1 Kawauchi, H.; Ohta, T.; Matsubara, Y.; Yoshizaki, K.; Sakamoto, J.; Amitsuka, H.; Kimura, K.; Maemoto, A. et al. (Jul 2013). "Clinicopathological study of acute esophageal mucosal lesion.". Nihon Shokakibyo Gakkai Zasshi 110 (7): 1249-57. PMID 23831655.
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