Dabigatran-induced esophagitis

[摘要] A 74-year-old man presented to the gastroenterology clinic with a 2-day historyof retrosternal discomfort. His vital signs werenormal, and laboratory testing showed a normal leukocyte count.Esophagogastroduodenoscopy (EGD) revealed longitudinal sloughing mucosal casts inthe middle and lower esophagus (Figure 1).Esophageal candidiasis would be suspectedon the basis of endoscopic findings of whiteor yellowish plaque-like lesions that could notbe washed away.1 However, in this patient, thelesions were exfoliative, a picture compatiblewith chemical or “pill esophagitis.” The patient had no risk factors for esophageal candidiasis such as human immunodeficiency virusinfection, alcohol abuse, or diabetes mellitus.Further, no Candida species were detected inEGD samples sent for microscopic study.

[学科分类] 卫生学