Rodriguez Fernandez Laura, García Sánchez María Concepción, Prieto de Paula José María, Miramontes González José Pablo
Department of Internal Medicine.
Department of Gastroenterology, Valladolid University Clinical Hospital, Valladolid, Spain.
Cardiovasc Endocrinol Metab. 2020 Jul 7;10(1):59-61. doi: 10.1097/XCE.0000000000000221. eCollection 2021 Mar.
The black esophagus is a rare clinical entity, down to 0.2% in autopsy series and 0.001-0.2% in series of endoscopies. Although it is an entity that has already been reported in the literature, its etiopathogenesis is not completely known. Different theories have been proposed to clarify their cause. One of these theories makes a hypothesis of a viral infection as the underlying cause; this theory can be seen in the literature extensively, but only two cases were reported. The first case is a case with histopathological confirmation of Herpes virus infection. The second is a case in which vascular deterioration has been the main cause of esophageal necrosis. In both cases, diabetes is the factor that determines a bad evolution of the disease.
黑色食管是一种罕见的临床病症，在尸检系列中发生率低至0.2%，在内镜检查系列中为0.001 - 0.2%。尽管这是一种已在文献中报道过的病症，但其病因发病机制尚未完全明确。已提出不同理论来阐明其病因。其中一种理论假设病毒感染是潜在病因；该理论在文献中有广泛记载，但仅报告了两例。第一例是经组织病理学证实为疱疹病毒感染的病例。第二例是血管退变成为食管坏死主要原因的病例。在这两例中，糖尿病都是决定疾病不良进展的因素。
