case_images: PMC9940231_01
case_images: Severe circumferential ulceration with low-grade narrowing in distal esophagus.
case_images: 10.1177_2050313X221140244-fig1.jpg
case_images: PMC9940231_01_10.1177_2050313X221140244-fig1.jpg
case_images: fig1-2050313X221140244
case_images: EGD showed severe circumferential ulceration in the distal esophagus with low-grade narrowing (Figure 1).
case_images: Diffuse yellow-white exudate.
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case_images: PMC9940231_01_10.1177_2050313X221140244-fig2.jpg
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case_images: Subsequent EGD revealed fine rings and diffuse yellow-white exudate (Figure 2).
case_images: No esophageal stricture, ring, or hiatal hernia at GE junction.
case_images: 10.1177_2050313X221140244-fig3.jpg
case_images: PMC9940231_01_10.1177_2050313X221140244-fig3.jpg
case_images: fig3-2050313X221140244
case_images: No esophageal stricture, ring, or hiatal hernia were seen to suspect a mechanical cause of the dysphagia (Figure 3).
case_images: Multiple openings in the esophageal mucosa.
case_images: 10.1177_2050313X221140244-fig4.jpg
case_images: PMC9940231_01_10.1177_2050313X221140244-fig4.jpg
case_images: fig4-2050313X221140244
case_images: However, multiple openings in the esophageal mucosa were noted, suspicious for EIP (Figure 4).
case_images: Visualization of stomach, random gastric biopsies taken.
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case_images: fig5-2050313X221140244
case_images: In contrast to the H. pylori-negative gastritis at initial presentation, random gastric biopsies (Figure 5) revealed reactive gastropathy with focal H. pylori colonization.
case_images: HRM showing strong esophageal body contractions.
case_images: 10.1177_2050313X221140244-fig6.jpg
case_images: PMC9940231_01_10.1177_2050313X221140244-fig6.jpg
case_images: fig6-2050313X221140244