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Rings in the esophagus are not always eosinophilic esophagitis: Case series of ring forming lymphocytic esophagitis and review of the literature

Authors :
Arvind J. Trindade
Arvind Rishi
Perry J. Milman
Sofia Taboada
Julia L. Pleet
Source :
Endoscopy International Open, Endoscopy International Open, Vol 05, Iss 06, Pp E484-E488 (2017)
Publication Year :
2017
Publisher :
Georg Thieme Verlag KG, 2017.

Abstract

Background and study aims Lymphocytic esophagitis (LyE) is a form of chronic esophagitis characterized by edema and lymphocytic infiltration of the epithelial peripapillary fields, without eosinophils. Its significance is unclear, as it was previously thought to have little clinical impact. More recent literature, however, describes a paradigm shift suggesting a distinct entity. We report on 3 patients with dysphagia who were found to have esophageal rings on endoscopy. Histology was consistent with LyE. Additional features reported in this cohort included an esophageal web, esophageal pseudodiverticula and esophageal erythema. We also report a current literature review of the topic. The literature review reported here includes another 37 patients with LyE and rings, for a total of 40 patients. Patients with LyE may present with esophageal rings and other findings. LyE should be considered in the differential diagnosis of esophageal rings.

Details

ISSN :
21969736 and 23643722
Database :
OpenAIRE
Journal :
Endoscopy International Open
Accession number :
edsair.doi.dedup.....d39e2aabe55fce21865ac4dc04f65a96
Full Text :
https://doi.org/10.1055/s-0043-106579