Stenosis of the esophagus in cicatricial pemphigoid resolved by colon interposition: report of a case.
We present herein the exceedingly uncommon case of a patient with cicatricial pemphigoid (CP) who gradually developed conjunctival, oral, and esophageal involvement. Despite long-term medical management with dapsone and disulone, the ocular lesions progressed to produce further scarring, which led to ankyloblepharon, symblepharon, and ultimately, blindness of the right eye. After a period of 5 years the patient developed a total esophageal stricture, intractable by dilation, necessitating esophageal reconstruction. The details of an original procedure using a continuous colic loop are described, highlighting the better tolerance of this technique by a high-risk patient. A discussion on the recent advances in diagnosing bullous dermatoses is presented following this case report.
Popovici
Z
Z
First Surgical Clinic, Faculty of Medicine of Sibiu, Romania.
Deac
M
M
Rotaru
M
M
Veştemeanu
P
P
Vărgatu
V
V
D003106:Colon / Q000601:surgery*; D004940:Esophageal Stenosis / Q000209:etiology / Q000601:surgery*; D004944:Esophagoplasty; D005260:Female; D006801:Humans; D008875:Middle Aged; D009748:Nutrition Disorders / Q000150:complications; D010390:Pemphigoid, Benign Mucous Membrane / Q000150:complications / Q000601:surgery*