Arcos de González B, Pérez Machado L, Hamana N
Policlínica Santiago de León, Caracas.
G E N. 1990 Apr-Jun;44(2):159-61.
Herpetic esophagitis is an infrequent ulcerative infection of the esophagus caused by Herpes Virus type I. It is usually seen in immunocompromised patients though it may present in immunocompetent ones. Odynophagia and/or dysphagia associated with chest pain are the most frequent clinical symptoms. Radiology, endoscopy, biopsy and serological markers are the basis for diagnosis. We report 3 patients with herpetic esophagitis diagnosed between 1984-1989 and evaluated the clinical, endoscopic and biopsy characteristics. Certain clinical and endoscopic findings common to our patients tend to identify the disease, with biopsy and or serological markers the diagnosis may be established.
疱疹性食管炎是由I型疱疹病毒引起的一种罕见的食管溃疡性感染。它通常见于免疫功能低下的患者,不过也可能出现在免疫功能正常者身上。吞咽痛和/或与胸痛相关的吞咽困难是最常见的临床症状。放射学、内镜检查、活检和血清学标志物是诊断的依据。我们报告了1984年至1989年间诊断为疱疹性食管炎的3例患者,并对其临床、内镜和活检特征进行了评估。我们患者共有的某些临床和内镜表现倾向于明确该疾病,通过活检和/或血清学标志物可确立诊断。