Drug-Induced Esophagitis

Published on 19/07/2015 by admin

Filed under Radiology

Last modified 19/07/2015

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Aortic arch, left main bronchus, retrocardiac

• Findings on esophagram (double contrast)

Solitary or localized cluster of tiny ulcers distributed circumferentially on normal background mucosa

Punctate, linear, stellate, serpiginous, or ovoid; collections of barium on esophageal surface

Longer areas of ulceration with potassium chloride, quinidine, biphosphonates, and in patients with cardiomegaly

Mass effect surrounding ulcer due to edema and inflammation; can mimic ulcerated carcinoma

• Superficial ulceration

Giant, flat ulcers are uncommonly seen

TOP DIFFERENTIAL DIAGNOSES

• Reflux esophagitis

• Viral esophagitis

• Esophageal carcinoma

• Barrett esophagus

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