A 63-year-old man presented with odynophagia and retrosternal pain. Previously, prednisolone
and cyclophosphamide were administered for severe interstitial pneumonia. The first
EGD showed diffuse maplike erosions with exfoliation of the epithelium in the distal
esophagus (A). Histologic analysis revealed multinucleated cells with ground-glass nuclei (B, arrowheads). His serum herpes simplex virus–immunoglobulin-M level was elevated to 4.49 (antibody
index). Acyclovir was administered for herpes simplex virus–induced esophagitis, and
the symptoms improved. In 9 months, he experienced recurrence of odynophagia and underwent
a second EGD.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Gastrointestinal EndoscopyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
Article info
Publication history
Published online: April 14, 2019
Mohamed O. Othman, MD, Associate Editor for Focal PointsIdentification
Copyright
© 2019 by the American Society for Gastrointestinal Endoscopy
