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[Pseudo-esophagitis in antacid abuse]
B Bokemeyer1, U Vogt, R Stadler
1Gastroenterologische Fachpraxis, Minden.
Leber, Magen, Darm
|November 1, 1996
Summary
Long-term antacid use can cause esophageal white plaques, mimicking Candida esophagitis. Discontinuation of antacids led to complete mucosal healing, highlighting antacids as a key differential diagnosis for these esophageal findings.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Esophageal white plaques can present as a diagnostic challenge.
- Candida esophagitis is a common differential diagnosis for such lesions.
Observation:
- A patient presented with diffuse white plaques throughout the esophagus.
- Initial esophagoscopy suggested Candida esophagitis.
- Histologic and cultural examinations ruled out fungal infection.
Findings:
- Detailed history revealed prolonged and significant abuse of antacids.
- Discontinuation of antacid intake resulted in complete resolution of esophageal plaques.
- Follow-up gastroscopy after four months showed normal esophageal mucosa.
Implications:
- This case highlights the importance of considering antacid abuse in the differential diagnosis of esophageal white plaques.
- Antacid-induced changes can mimic infectious esophagitis.
- Clinicians should inquire about medication history, particularly antacid use, in patients with unexplained esophageal lesions.