Late-onset ‘sloughing esophagitis’ (esophagitis dissecans superficialis) associated with bullous pemphigoid
Pemphigus is a rare autoimmune disease that causes blistering of the skin and oral mucosa. In bullous pemphigoid (BP), skin involvement is predominant, whereas oesophageal involvement is rare, compared with other blistering diseases. We present, herein, the case of a 67-year-old man with a history o...
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| Veröffentlicht in: | BMJ case reports 2020-07, Vol.13 (7), p.e235135 |
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| creator | Morel-Cerda, Eliana Carolina Priego-Parra, Bryan Adrian Grube-Pagola, Peter Remes-Troche, Jose Maria |
| description | Pemphigus is a rare autoimmune disease that causes blistering of the skin and oral mucosa. In bullous pemphigoid (BP), skin involvement is predominant, whereas oesophageal involvement is rare, compared with other blistering diseases. We present, herein, the case of a 67-year-old man with a history of successfully treated BP that 2 years later developed progressive dysphagia, unintentional weight loss and iron deficiency anaemia. An endoscopy with biopsies was performed, and its findings were consistent with ‘sloughing esophagitis’ (esophagitis dissecans superficialis) associated with BP. Oesophageal involvement was present during the first weeks, making our case unusual due to the isolated oesophageal symptoms that developed 24 months later. |
| doi_str_mv | 10.1136/bcr-2020-235135 |
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In bullous pemphigoid (BP), skin involvement is predominant, whereas oesophageal involvement is rare, compared with other blistering diseases. We present, herein, the case of a 67-year-old man with a history of successfully treated BP that 2 years later developed progressive dysphagia, unintentional weight loss and iron deficiency anaemia. An endoscopy with biopsies was performed, and its findings were consistent with ‘sloughing esophagitis’ (esophagitis dissecans superficialis) associated with BP. Oesophageal involvement was present during the first weeks, making our case unusual due to the isolated oesophageal symptoms that developed 24 months later.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2020-235135</identifier><identifier>PMID: 32641304</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Aged ; Antibodies ; Autoimmune diseases ; Bisphosphonates ; Case reports ; Celiac disease ; Drugs ; Dysphagia ; Endoscopy ; Esophagitis - etiology ; Esophagus ; Esophagus - pathology ; Gastroesophageal reflux ; Humans ; Intubation ; Male ; Mouth ; oesophagus ; Pathogenesis ; pathology ; Patients ; Pemphigoid, Bullous - complications ; Pemphigoid, Bullous - pathology ; Potassium ; skin ; Skin diseases ; Ulcers ; Unusual Association of Diseases/Symptoms ; Vomiting</subject><ispartof>BMJ case reports, 2020-07, Vol.13 (7), p.e235135</ispartof><rights>BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2020 BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b492t-ef1d02c8365461fb9bef8be8f968646da5aff687a9db4c2d2c5e8093b03f31263</citedby><cites>FETCH-LOGICAL-b492t-ef1d02c8365461fb9bef8be8f968646da5aff687a9db4c2d2c5e8093b03f31263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7348641/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7348641/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32641304$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morel-Cerda, Eliana Carolina</creatorcontrib><creatorcontrib>Priego-Parra, Bryan Adrian</creatorcontrib><creatorcontrib>Grube-Pagola, Peter</creatorcontrib><creatorcontrib>Remes-Troche, Jose Maria</creatorcontrib><title>Late-onset ‘sloughing esophagitis’ (esophagitis dissecans superficialis) associated with bullous pemphigoid</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><addtitle>BMJ Case Rep</addtitle><description>Pemphigus is a rare autoimmune disease that causes blistering of the skin and oral mucosa. In bullous pemphigoid (BP), skin involvement is predominant, whereas oesophageal involvement is rare, compared with other blistering diseases. We present, herein, the case of a 67-year-old man with a history of successfully treated BP that 2 years later developed progressive dysphagia, unintentional weight loss and iron deficiency anaemia. An endoscopy with biopsies was performed, and its findings were consistent with ‘sloughing esophagitis’ (esophagitis dissecans superficialis) associated with BP. Oesophageal involvement was present during the first weeks, making our case unusual due to the isolated oesophageal symptoms that developed 24 months later.</description><subject>Aged</subject><subject>Antibodies</subject><subject>Autoimmune diseases</subject><subject>Bisphosphonates</subject><subject>Case reports</subject><subject>Celiac disease</subject><subject>Drugs</subject><subject>Dysphagia</subject><subject>Endoscopy</subject><subject>Esophagitis - etiology</subject><subject>Esophagus</subject><subject>Esophagus - pathology</subject><subject>Gastroesophageal reflux</subject><subject>Humans</subject><subject>Intubation</subject><subject>Male</subject><subject>Mouth</subject><subject>oesophagus</subject><subject>Pathogenesis</subject><subject>pathology</subject><subject>Patients</subject><subject>Pemphigoid, Bullous - complications</subject><subject>Pemphigoid, Bullous - pathology</subject><subject>Potassium</subject><subject>skin</subject><subject>Skin diseases</subject><subject>Ulcers</subject><subject>Unusual Association of Diseases/Symptoms</subject><subject>Vomiting</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkc1u1DAUhS0EotXQNTtkiU2hCvVfnGSDVFXQIo3EBiR2lp3YiUdJHHwTKnZ9DHi9PgkeTTsMSEh442v587n3-CD0nJI3lHJ5buqYMcJIxnhOef4IHdMiL7KiIl8eH9RH6ARgQ9LiVJSCP0VHnElBORHHKKz1bLMwgp3x3e0P6MPSdn5ssYUwdbr1s4e725_49OCMGw9gaz0ChmWy0fna697DK6wBQqpn2-AbP3fYLH0SBDzZYep8G3zzDD1xugd7cr-v0Of37z5dXmfrj1cfLi_WmREVmzPraENYXXKZC0mdqYx1pbGlq2QphWx0rp2TZaGrxoiaNazObUkqbgh3nDLJV-jtTndazGCb2o5z1L2aoh90_K6C9urPm9F3qg3fVMFFuf2cFTq9F4jh62JhVoOH2va9Hm2ypJhgjFDB-LbXy7_QTVjimOwlinPGCiJFos53VB0DQLRuPwwlapunSnmqbZ5ql2d68eLQw55_SC8Br3eAGTb_oXb2G94P-C_6F9Twutw</recordid><startdate>20200708</startdate><enddate>20200708</enddate><creator>Morel-Cerda, Eliana Carolina</creator><creator>Priego-Parra, Bryan Adrian</creator><creator>Grube-Pagola, Peter</creator><creator>Remes-Troche, Jose Maria</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200708</creationdate><title>Late-onset ‘sloughing esophagitis’ (esophagitis dissecans superficialis) associated with bullous pemphigoid</title><author>Morel-Cerda, Eliana Carolina ; Priego-Parra, Bryan Adrian ; Grube-Pagola, Peter ; Remes-Troche, Jose Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b492t-ef1d02c8365461fb9bef8be8f968646da5aff687a9db4c2d2c5e8093b03f31263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Antibodies</topic><topic>Autoimmune diseases</topic><topic>Bisphosphonates</topic><topic>Case reports</topic><topic>Celiac disease</topic><topic>Drugs</topic><topic>Dysphagia</topic><topic>Endoscopy</topic><topic>Esophagitis - etiology</topic><topic>Esophagus</topic><topic>Esophagus - pathology</topic><topic>Gastroesophageal reflux</topic><topic>Humans</topic><topic>Intubation</topic><topic>Male</topic><topic>Mouth</topic><topic>oesophagus</topic><topic>Pathogenesis</topic><topic>pathology</topic><topic>Patients</topic><topic>Pemphigoid, Bullous - complications</topic><topic>Pemphigoid, Bullous - pathology</topic><topic>Potassium</topic><topic>skin</topic><topic>Skin diseases</topic><topic>Ulcers</topic><topic>Unusual Association of Diseases/Symptoms</topic><topic>Vomiting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morel-Cerda, Eliana Carolina</creatorcontrib><creatorcontrib>Priego-Parra, Bryan Adrian</creatorcontrib><creatorcontrib>Grube-Pagola, Peter</creatorcontrib><creatorcontrib>Remes-Troche, Jose Maria</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morel-Cerda, Eliana Carolina</au><au>Priego-Parra, Bryan Adrian</au><au>Grube-Pagola, Peter</au><au>Remes-Troche, Jose Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Late-onset ‘sloughing esophagitis’ (esophagitis dissecans superficialis) associated with bullous pemphigoid</atitle><jtitle>BMJ case reports</jtitle><stitle>BMJ Case Rep</stitle><addtitle>BMJ Case Rep</addtitle><date>2020-07-08</date><risdate>2020</risdate><volume>13</volume><issue>7</issue><spage>e235135</spage><pages>e235135-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>Pemphigus is a rare autoimmune disease that causes blistering of the skin and oral mucosa. In bullous pemphigoid (BP), skin involvement is predominant, whereas oesophageal involvement is rare, compared with other blistering diseases. We present, herein, the case of a 67-year-old man with a history of successfully treated BP that 2 years later developed progressive dysphagia, unintentional weight loss and iron deficiency anaemia. An endoscopy with biopsies was performed, and its findings were consistent with ‘sloughing esophagitis’ (esophagitis dissecans superficialis) associated with BP. Oesophageal involvement was present during the first weeks, making our case unusual due to the isolated oesophageal symptoms that developed 24 months later.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>32641304</pmid><doi>10.1136/bcr-2020-235135</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Antibodies Autoimmune diseases Bisphosphonates Case reports Celiac disease Drugs Dysphagia Endoscopy Esophagitis - etiology Esophagus Esophagus - pathology Gastroesophageal reflux Humans Intubation Male Mouth oesophagus Pathogenesis pathology Patients Pemphigoid, Bullous - complications Pemphigoid, Bullous - pathology Potassium skin Skin diseases Ulcers Unusual Association of Diseases/Symptoms Vomiting |
| title | Late-onset ‘sloughing esophagitis’ (esophagitis dissecans superficialis) associated with bullous pemphigoid |
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