case_images: PMC8189811_01
case_images: Ulcerated and edematous upper and lower lips at the time of presentation.
case_images: CRIRH2021-5868655.001.jpg
case_images: PMC8189811_01_CRIRH2021-5868655.001.jpg
case_images: fig1
case_images: Her exam was significant for diffusely edematous and erythematous upper and lower lips with cracking, blistering, and evidence of prior bleeding (Figure 1).
case_images: Oral ulcer on the left posterior palate at the time of presentation.
case_images: CRIRH2021-5868655.002.jpg
case_images: PMC8189811_01_CRIRH2021-5868655.002.jpg
case_images: fig2
case_images: She additionally had a 5 mm dark red ulceration on her posterior palate (Figure 2).
case_images: CT chest/abdomen/pelvis demonstrating diffuse, circumferential esophageal thickening as denoted by red arrow.
case_images: CRIRH2021-5868655.003.jpg
case_images: PMC8189811_01_CRIRH2021-5868655.003.jpg
case_images: fig3
case_images: CT scan revealed circumferential thickening of her esophagus (Figure 3) and diffuse lymphadenopathy.
case_images: Upper endoscopy with gross visualization of shallow ulcerations in the esophageal mucosa.
case_images: CRIRH2021-5868655.004.jpg
case_images: PMC8189811_01_CRIRH2021-5868655.004.jpg
case_images: fig4
case_images: Upper endoscopy with biopsies was performed and revealed shallow ulcerations throughout her esophagus (Figure 4).