Go Hoon, Yang Hyeon Woong, Jung Sung Hee, Park Young A, Lee Jung Yun, Kim Sae Hee, Lim Sin Hyung
Department of Internal Medicine, Eulji University School of Medicine, Eulji University Hospital Daejeon, Korea.
Korean J Intern Med. 2007 Mar;22(1):59-62. doi: 10.3904/kjim.2007.22.1.59.
Reversible thermal injury to the esophagus as the result of drinking hot liquids has been reported to generate alternating white and red linear mucosal bands, somewhat reminiscent of a candy cane. This phenomenon is associated with chest pain, dysphagia, odynophagia, and epigastric pain. Here, we report a case of thermal injury to the esophageal and oral cavity due to the drinking of hot tea, including odynophagia and dysphagia. A 69-year-old man was referred due to a difficulty in swallowing which had begun a week prior to referral. The patient, at the time of admission, was unable to swallow even liquids. He had recently suffered from hiccups, and had consumed five cups of hot adlay tea one week prior to admission, as a folk remedy for the hiccups. Upon physical examination, the patient's oral cavity evidenced mucosal erosion, hyperemia, and mucosa covered by a whitish pseudomembrane. Nonspecific findings were detected on the laboratory and radiological exams. Upper endoscopy revealed diffuse hyperemia, and erosions with thick and whitish pseudomembraneous mucosa on the entire esophagus. The stomach and duodenum appeared normal. We diagnosed the patient with thermal esophageal injury inflicted by the hot tea. He was treated with pantoprazole, 40 mg/day, for 14 days, and evidenced significant clinical and endoscopic improvement.
据报道，饮用热液体导致的食管可逆性热损伤会产生交替出现的白色和红色线性黏膜带，有点像拐杖糖。这种现象与胸痛、吞咽困难、吞咽痛和上腹痛有关。在此，我们报告一例因饮用热茶导致食管和口腔热损伤的病例，包括吞咽痛和吞咽困难。一名69岁男性因吞咽困难前来就诊，该症状在就诊前一周开始出现。入院时，患者甚至无法吞咽液体。他最近患有打嗝，入院前一周喝了五杯热薏仁茶作为治疗打嗝的民间疗法。体格检查时，患者口腔可见黏膜糜烂、充血，黏膜上覆盖有白色假膜。实验室和放射学检查未发现特异性结果。上消化道内镜检查显示整个食管弥漫性充血，伴有厚的白色假膜性黏膜糜烂。胃和十二指肠外观正常。我们诊断该患者为热茶导致的热食管损伤。给予患者泮托拉唑40毫克/天，治疗14天，患者临床和内镜检查均有显著改善。
