PMC9940231_01
Severe circumferential ulceration with low-grade narrowing in distal esophagus.
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EGD showed severe circumferential ulceration in the distal esophagus with low-grade narrowing (Figure 1).
Diffuse yellow-white exudate.
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Subsequent EGD revealed fine rings and diffuse yellow-white exudate (Figure 2).
No esophageal stricture, ring, or hiatal hernia at GE junction.
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No esophageal stricture, ring, or hiatal hernia were seen to suspect a mechanical cause of the dysphagia (Figure 3).
Multiple openings in the esophageal mucosa.
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However, multiple openings in the esophageal mucosa were noted, suspicious for EIP (Figure 4).
Visualization of stomach, random gastric biopsies taken.
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In contrast to the H. pylori-negative gastritis at initial presentation, random gastric biopsies (Figure 5) revealed reactive gastropathy with focal H. pylori colonization.
HRM showing strong esophageal body contractions.
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