PMC8189811_01
Ulcerated and edematous upper and lower lips at the time of presentation.
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Her exam was significant for diffusely edematous and erythematous upper and lower lips with cracking, blistering, and evidence of prior bleeding (Figure 1).
Oral ulcer on the left posterior palate at the time of presentation.
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She additionally had a 5 mm dark red ulceration on her posterior palate (Figure 2).
CT chest/abdomen/pelvis demonstrating diffuse, circumferential esophageal thickening as denoted by red arrow.
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CT scan revealed circumferential thickening of her esophagus (Figure 3) and diffuse lymphadenopathy.
Upper endoscopy with gross visualization of shallow ulcerations in the esophageal mucosa.
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Upper endoscopy with biopsies was performed and revealed shallow ulcerations throughout her esophagus (Figure 4).