Open AccessHerpetic esophagitis: An uncommon cause of dysphagia
Author(s) -
Rajeev Bansal,
Piyush Ranjan
Publication year - 2014
Publication title -
journal of digestive endoscopy
Language(s) - English
Resource type - Journals
eISSN - 0976-5050
pISSN - 0976-5042
DOI - 10.4103/0976-5042.147505
Subject(s) - medicine , dysphagia , eosinophilic esophagitis , esophagitis , esophagus , gastroenterology , immune system , biopsy , giant cell , herpes simplex virus , dermatology , endoscopy , pathology , immunology , surgery , virus , disease , reflux
Herpes simplex esophagitis usually occurs in immune-compromised patients. We report a case of 44 year-old lady without any immune deficient state, who presented with dysphagia and retrosternal pain. Upper GI endoscopy revealed multiple punched out ulcers in esophagus. Biopsy from these ulcers revealed intranuclear eosinophilic inclusion bodies and multinucleated epithelial giant cells suggestive of herpetic esophagitis. Serum HSV-1 IgM antibodies was positive. Dysphagia improved on treatment with acyclovir