Esophagitis Dissecans Superficialis with Concomitant Bullous Pemphigoid: A Case Report
Journal Title: Journal of Dermatology Research and Therapy - Year 2016, Vol 2, Issue 4
Abstract
Esophagitis dissecans superficialis (EDS) is a rare endoscopic finding characterized by sloughing of the esophageal mucosal lining, which has been infrequently associated with autoimmune bullous dermatoses. We report a case of a 77-year-old man who presented with diffuse mucocutaneous bullous lesions and odynophagia. Direct immunofluorescence of a skin biopsy confirmed a diagnosis of bullous pemphigoid and esophagogastroduodenoscopy revealed linear fissures and sloughing of the esophageal mucosa consistent with a diagnosis of EDS. With only two previously reported cases of EDS associated with bullous pemphigoid, prompt endoscopic evaluation should be considered in patients with bullous lesions and gastrointestinal symptoms.
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