Le Khanh, Ahmed Amir
Tulane University Health Sciences Center, USA.
J La State Med Soc. 2007 Nov-Dec;159(6):330, 333-8.
Acute necrotizing esophagitis (ANE) is a rare disease typically presenting as a diffuse blackening of the esophageal mucosa with necrosis on histologic examination. For this reason, ANE is often considered to be synonymous with'black esophagus'. Recently, however, cases of ANE have been reported with a "non-black" esophagus, and this is believed to be an earlier or later stage in the evolution of ANE to/from its black form. Here we present a case report of ANE that illustrates such an evolution in endoscopic appearance from non-black to black esophagus. We also provide a review of the literature to highlight what is currently known about this color change and other clinical aspects of this relatively uncommon esophageal disease.
急性坏死性食管炎（ANE）是一种罕见疾病，通常表现为食管黏膜弥漫性变黑，组织学检查可见坏死。因此，ANE常被认为与“黑色食管”同义。然而，最近有报道称ANE病例存在“非黑色”食管，这被认为是ANE向黑色形式演变的早期或晚期阶段。在此，我们报告一例ANE病例，该病例展示了内镜下从非黑色食管到黑色食管的这种演变过程。我们还对文献进行了综述，以强调目前关于这种颜色变化以及这种相对罕见的食管疾病其他临床方面的了解。
