Rokkam Venkata R, Aggarwal Avin, Taleban Sasha
Inpatient Medicine, Banner University Medical Center, Tucson, USA.
Gastroenterology, Banner University Medical Center, Tucson, USA.
Cureus. 2020 Jun 6;12(6):e8475. doi: 10.7759/cureus.8475.
Esophagitis dissecans superficialis (EDS), also known as sloughing esophagitis, is a very rare condition and may affect the whole esophagus, resulting in complete sloughing of the mucous membrane. EDS has been associated with various medications and dermatological conditions. In our case, EDS was suspected secondary to methotrexate treatment in a patient with Crohn's disease, although the definitive etiology remains unknown. It is very important for physicians to recognize the endoscopic appearance of EDS to provide appropriate clinical management and differentiate it from other esophageal disorders.
浅表性剥脱性食管炎（EDS），也称为脱落性食管炎，是一种非常罕见的病症，可能累及整个食管，导致黏膜完全脱落。EDS与多种药物和皮肤病学病症有关。在我们的病例中，一名克罗恩病患者疑似因甲氨蝶呤治疗继发EDS，尽管确切病因仍不明。对于医生而言，认识EDS的内镜表现以提供适当的临床管理并将其与其他食管疾病区分开来非常重要。
