Extraosseous Calcification of the Esophagus: Clinicopathologic Correlates of Esophageal Mucosal Calcinosis | Zendy

Ari Garber | Zendy; Zubin Arora | Zendy; Nicole Welch | Zendy; James Lapinski | Zendy; Carol A. Burke | Zendy

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Extraosseous Calcification of the Esophagus: Clinicopathologic Correlates of Esophageal Mucosal Calcinosis

Author(s) -

Ari Garber,

Zubin Arora,

Nicole Welch,

James Lapinski,

Carol A. Burke

Publication year - 2017

Publication title -

acg case reports journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.112

H-Index - 4

ISSN - 2326-3253

DOI - 10.14309/crj.2017.108

Subject(s) - medicine , dysphagia , esophagogastroduodenoscopy , calcification , esophagus , odynophagia , calcinosis , dystrophic calcification , calciphylaxis , esophageal ulcer , gastroenterology , surgery , endoscopy

Esophageal mucosal calcinosis (EMC) is a rare cause of dysphagia with high morbidity. We present a patient who experienced melena and 3 months of solid and liquid dysphagia along with bilateral lower extremity pain, erythema, and edema later determined to be calcific uremic arteriolopathy (CUA), or calciphylaxis. An esophagogastroduodenoscopy revealed nodularity and linear ulcerations in the upper third of the esophagus. Histology showed active inflammation and ulceration with small foci of subepithelial and intraepithelial calcification consistent with EMC. There is no known treatment for this disorder. Sodium thiosulfate, typically used to treat CUA, did not improve her dysphagia.

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