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Published on: March 22, 2017
Pediatric Sloughing Esophagitis: A Case Report and Discussion
Lulu Sun1, Christina A Hickey1, Brendan R Harris1
1a Department of Pathology and Immunology , Washington University in Saint Louis School of Medicine, Saint Louis , Missouri , USA.
Insights
Sloughing esophagitis, a rare esophageal condition, can affect children. This case report details its occurrence in a healthy adolescent, highlighting successful treatment with medication.
Area of Science:
- Gastroenterology
- Pediatric Medicine
- Dermatology
Background:
- Sloughing esophagitis is an uncommon condition with unknown causes, marked by peeling esophageal squamous mucosa.
- It is often linked to autoimmune diseases and typically affects elderly patients on multiple medications.
Observation:
- A previously healthy 17-year-old girl presented with sloughing esophagitis.
- The exact trigger for her condition was not identified.
Findings:
- The patient showed improvement with proton pump inhibitor therapy and inhaled fluticasone.
- Complete resolution of sloughing esophagitis was achieved within six months.
Implications:
- Sloughing esophagitis can manifest in the pediatric population.
- This case underscores the importance of considering sloughing esophagitis in adolescents.
- Effective management strategies include proton pump inhibitors and corticosteroids.
Background:
Sloughing esophagitis is an uncommon entity with an unclear pathogenesis characterized by desquamating sheets of squamous mucosa. It has been associated with bullous dermatologic disorders, other autoimmune diseases and has been most commonly reported in elderly, debilitated individuals on multiple medications.
Case Report:
We report sloughing esophagitis in a previously healthy 17 year-old girl. While the initial trigger of her esophagitis is unclear, she improved with proton pump inhibitor therapy and swallowed fluticasone, with complete resolution after 6 months.
Conclusions:
Sloughing esophagitis can occur in the pediatric population. We discuss the presentation, differential diagnosis, and treatment of sloughing esophagitis in adolescents.
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