case_images: PMC5646309_01
case_images: Stricture in the lower third of esophagus.
case_images: CRIGM2017-5480562.001.jpg
case_images: PMC5646309_01_CRIGM2017-5480562.001.jpg
case_images: fig1
case_images: She underwent multiple esophagogastroduodenoscopies (EGD) with findings of mucosal friability, webs, and strictures (Figures 1-3).
case_images: Stricture in the middle third of esophagus.
case_images: CRIGM2017-5480562.002.jpg
case_images: PMC5646309_01_CRIGM2017-5480562.002.jpg
case_images: fig2
case_images: She underwent multiple esophagogastroduodenoscopies (EGD) with findings of mucosal friability, webs, and strictures (Figures 1-3).
case_images: Proximal stricture treated with dilatation.
case_images: CRIGM2017-5480562.003.jpg
case_images: PMC5646309_01_CRIGM2017-5480562.003.jpg
case_images: fig3
case_images: She underwent multiple esophagogastroduodenoscopies (EGD) with findings of mucosal friability, webs, and strictures (Figures 1-3).
case_images: Esophageal squamous epithelium with H&E staining at 100x magnification. Findings showing lymphocytic infiltrate in the basal layer and scattered apoptotic keratinocytes (Civatte bodies).
case_images: CRIGM2017-5480562.004.jpg
case_images: PMC5646309_01_CRIGM2017-5480562.004.jpg
case_images: fig4
case_images: Seven years after her initial presentation, deep esophageal biopsy specimens were obtained showing severe acute and chronic esophagitis with a lichenoid-like pattern of chronic inflammation with notable features of lymphocytic infiltrate involving the basal layer of the epithelium and scattered apoptotic keratinocytes (Civatte bodies) (Figures 4 and 5) raising strong consideration of ELP.
case_images: Esophageal squamous epithelium with H&E staining at 200x magnification with black arrow showing a Civatte body.
case_images: CRIGM2017-5480562.005.jpg
case_images: PMC5646309_01_CRIGM2017-5480562.005.jpg
case_images: fig5
case_images: Seven years after her initial presentation, deep esophageal biopsy specimens were obtained showing severe acute and chronic esophagitis with a lichenoid-like pattern of chronic inflammation with notable features of lymphocytic infiltrate involving the basal layer of the epithelium and scattered apoptotic keratinocytes (Civatte bodies) (Figures 4 and 5) raising strong consideration of ELP.
case_images: Esophageal mucosal tear after dilatation procedure occurring late in the patient's course highlighting the potential increased risk of complications with further endoscopic interventions.
case_images: CRIGM2017-5480562.006.jpg
case_images: PMC5646309_01_CRIGM2017-5480562.006.jpg
case_images: fig6
case_images: By this time, her symptoms had already become severely debilitating with worsening strictures and narrowing throughout the esophagus, carrying a substantial risk for perforation with continued dilations (Figure 6).