title: Fungal Esophagitis Presenting With Esophagitis Dissecans Superficialis: Cause or Concurrence? A Diagnostic Conundrum.
abstract: Esophagitis dissecans superficialis (EDS) is a rare desquamative disorder of the esophagus. It is characterized by sheets of sloughed squamous tissue with normal underlying mucosa. We present a case of a 68-year-old man with severe anemia and a positive fecal occult blood test who was found to have features suggestive of EDS during endoscopy. However, histological features were suggestive of both EDS and fungal esophagitis. To our knowledge, this is the first reported case in literature which discusses the clinical scenario of fungal infection being a possible etiology rather than a commonly accepted differential diagnosis of EDS. We also review the clinical features, diagnostic criteria and treatment of EDS.
authors.affiliation: Department of Internal Medicine, Mount Sinai Health Systems, E 101st, New York, NY 10029, USA.
authors.forename: Rashmee
authors.initials: R
authors.lastname: Patil
authors.affiliation: Department of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, 121 Dekalb Ave., Brooklyn, NY 11201, USA.
authors.forename: Tagore
authors.initials: T
authors.lastname: Sunkara
authors.affiliation: Department of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, 121 Dekalb Ave., Brooklyn, NY 11201, USA.
authors.forename: Mel A
authors.initials: MA
authors.lastname: Ona
authors.affiliation: Department of Gastroenterology and Hepatology, SBH Health System,4422 Third Ave, Bronx, NY 10457, USA.
authors.forename: Vinaya
authors.initials: V
authors.lastname: Gaduputi
authors.affiliation: Department of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, 121 Dekalb Ave., Brooklyn, NY 11201, USA.
authors.forename: Madhavi
authors.initials: M
authors.lastname: Reddy
keywords: Esophageal membrane; Esophagitis dissecans superficialis; Sloughing esophagitis