Peeling Back the Layers: Sloughing Esophagitis in a Teenager with Chronic Vomiting

Author:

Baran Jessica V.1,O’Flanagan Rowan2,Trocchia Carolena3,Brown Jerry M.1,Nguyen Johnny4,Karjoo Sara5,Wilsey Michael J.5

Affiliation:

1. Office of Medical Education, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, FL

2. Department of Biophysics, Johns Hopkins University, Baltimore, MD

3. Office of Medical Education, Johns Hopkins All Children’s Hospital, St. Petersburg, FL

4. Department of Pathology, Johns Hopkins All Children’s Hospital, St. Petersburg, FL

5. Department of Pediatric Gastroenteroleogy, Johns Hopkins All Children’s Hospital, St. Petersburg, FL.

Abstract

Esophagitis dissecans superficialis (EsoDS) is a rare condition characterized by the shedding of superficial esophageal epithelium. Limited data exists on EsoDS in the pediatric population. We present a case of a 17-year-old female with chronic nausea and vomiting diagnosed with EsoDS. Endoscopy revealed esophageal mucosal sloughing, and histology confirmed esophagitis with mucosal necrosis. EsoDS is underrecognized, and its association with psychoactive medications remains unclear. Fortunately, EsoDS cases tend to resolve spontaneously without complications. Awareness of EsoDS is essential, and further research is needed to understand its prevalence and outcomes in pediatric patients.

Publisher

Wiley

Subject

General Earth and Planetary Sciences,General Environmental Science

Reference9 articles.

1. Esophagitis dissecans superficialis in children.;Ebigbo;J Pediatr Gastroenterol Nutr,2021

2. Esophagitis dissecans superficialis diagnosed by unsedated transnasal esophagoscopy.;Khalaf;J Pediatr Gastroenterol Nutr,2019

3. Esophagitis dissecans superficialis: clinical, endoscopic, and histologic features.;Hart;Dig Dis Sci,2015

4. Esophagitis dissecans superficialis (“sloughing esophagitis”): a clinicopathologic study of 12 cases.;Carmack;Am J Surg Pathol,2009

5. The clinical course and management of severe esophagitis dissecans superficialis: a case report.;Jaben;J Investig Med High Impact Case Rep,2019

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