Panarelli Nicole C
Department of Pathology, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10467, USA.
Surg Pathol Clin. 2017 Dec;10(4):765-779. doi: 10.1016/j.path.2017.07.001. Epub 2017 Sep 23.
Esophagitis results from diverse causes, including gastroesophageal reflux, immune-mediated or allergic reactions, therapeutic complications, and infections. The appropriate clinical management differs in each of these situations and is often guided by pathologic interpretation of endoscopic mucosal biopsy specimens. This review summarizes the diagnostic features of unusual forms of esophagitis, including eosinophilic esophagitis, lymphocytic esophagitis, esophagitis dissecans superficialis, drug-induced esophageal injury, and bullous disorders. Differential diagnoses and distinguishing features are emphasized.
食管炎由多种原因引起，包括胃食管反流、免疫介导或过敏反应、治疗并发症及感染。在上述每种情况下，合适的临床处理方法各不相同，且通常以内镜下黏膜活检标本的病理解读为指导。本综述总结了不典型食管炎的诊断特征，包括嗜酸性粒细胞性食管炎、淋巴细胞性食管炎、浅表性剥脱性食管炎、药物性食管损伤及大疱性疾病。文中重点强调了鉴别诊断及鉴别特征。
