title: [Esophageal stenosis in a patient with primary biliary cirrhosis and mucous membrane pemphigoid].
abstract: A 77-year-old man with primary biliary cirrhosis was admitted to our hospital with a complaint of dysphagia. Upper gastrointestinal endoscopy revealed multiple ulcers in the oral cavity and pharynx, with circumferential ulceration in the cervical and upper thoracic esophagus. It was difficult to pass the endoscope through the upper thoracic esophagus, indicating stenosis. The patient was referred to the ophthalmology department for ocular lesions, where he was diagnosed with symblepharon due to ocular pemphigoid. Furthermore, direct immunofluorescence microscopy of esophageal biopsy specimens revealed linear deposits of IgG, IgA, and C3 in the epithelial basement membrane zone. On the basis of these findings, a diagnosis of mucous membranous pemphigoid was made.
authors.affiliation: Department of Internal Medicine, Koseiren Namerikawa Hospital.
authors.forename: Hikaru
authors.initials: H
authors.lastname: Oguri
authors.forename: Masaki
authors.initials: M
authors.lastname: Miyazawa
mesh_terms: D000368:Aged; D004940:Esophageal Stenosis / Q000209:etiology*; D006801:Humans; D008105:Liver Cirrhosis, Biliary / Q000150:complications*; D008297:Male; D010390:Pemphigoid, Benign Mucous Membrane / Q000150:complications* / Q000175:diagnosis