García Durán F, Baños E, Hernández-Albujar A, Pérez de Ayala V, Jiménez P, Menchén P, Cos E, Senent C
Servicio de Aparato Digestivo, Hospital General Gregorio Marañón, Madrid.
Rev Esp Enferm Dig. 1996 Feb;88(2):133-6.
Idiopathic esophageal ulcerations (IEUs) associated with human immunodeficiency virus (HIV) infection are now recognized as an important cause of esophageal disease in this population. We report one case of IEU complicated with a fistula to the bronchial tree. Given his variable appearance, which may mimic other causes of esophageal ulceration and the high response rate to oral corticosteroid therapy, all HIV infected patients with esophageal ulceration should undergo endoscopy with biopsy to obtain a definitive diagnosis. We review the literature about the etiology, pathogenesis, management and treatment of the IEU.
与人类免疫缺陷病毒（HIV）感染相关的特发性食管溃疡（IEU）现已被认为是该人群食管疾病的一个重要原因。我们报告一例IEU并发支气管树瘘管的病例。鉴于其表现多样，可能与食管溃疡的其他病因相似，且对口服糖皮质激素治疗反应率高，所有感染HIV且有食管溃疡的患者均应接受内镜检查及活检以明确诊断。我们回顾了关于IEU的病因、发病机制、管理和治疗的文献。
