1. Late-onset ‘sloughing esophagitis’ (esophagitis dissecans superficialis) associated with bullous pemphigoid
- Author
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José María Remes-Troche, Bryan Adrian Priego-Parra, Peter Grube-Pagola, and Eliana Carolina Morel-Cerda
- Subjects
Male ,0301 basic medicine ,medicine.medical_specialty ,Unusual Association of Diseases/Symptoms ,Late onset ,030105 genetics & heredity ,03 medical and health sciences ,Esophagus ,0302 clinical medicine ,Pemphigoid, Bullous ,medicine ,Esophagitis ,Humans ,Oral mucosa ,skin and connective tissue diseases ,Aged ,Autoimmune disease ,integumentary system ,business.industry ,General Medicine ,Iron deficiency ,medicine.disease ,Dermatology ,Dysphagia ,Pemphigus ,medicine.anatomical_structure ,Bullous pemphigoid ,medicine.symptom ,business ,030217 neurology & neurosurgery - Abstract
Pemphigus is a rare autoimmune disease that causes blistering of the skin and oral mucosa. In bullous pemphigoid (BP), skin involvement is predominant, whereas oesophageal involvement is rare, compared with other blistering diseases. We present, herein, the case of a 67-year-old man with a history of successfully treated BP that 2 years later developed progressive dysphagia, unintentional weight loss and iron deficiency anaemia. An endoscopy with biopsies was performed, and its findings were consistent with ‘sloughing esophagitis’ (esophagitis dissecans superficialis) associated with BP. Oesophageal involvement was present during the first weeks, making our case unusual due to the isolated oesophageal symptoms that developed 24 months later.
- Published
- 2020