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Herpetic esophagitis

M J Shortsleeve, G P Gauvin, R C Gardner

    Radiology
    |December 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Herpetic esophagitis can cause painful swallowing (odynophagia) and characteristic esophageal ulcers visible on barium esophagograms. Definitive diagnosis requires histologic examination to identify herpes virus cytopathic effects.

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    Area of Science:

    • Gastroenterology
    • Virology
    • Radiology

    Background:

    • Herpetic esophagitis is an opportunistic infection affecting the esophagus.
    • Odynophagia is a common presenting symptom in patients with herpetic esophagitis.

    Observation:

    • Barium esophagograms revealed shallow, round to oval ulcers early in the disease course.
    • Later stages showed nodular plaques due to fibrinous exudate projecting into the esophageal lumen.

    Findings:

    • Radiographic findings suggest esophagitis but are not specific to herpes virus infection.
    • Histologic examination is crucial for definitive diagnosis, showing characteristic cytopathic effects of the herpes virus.

    Implications:

    • Early recognition of radiographic signs can prompt further investigation.
  • Histopathology remains the gold standard for diagnosing herpetic esophagitis.