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A case of herpes esophagitis after fluticasone propionate for eosinophilic esophagitis

Nature Clinical Practice Gastroenterology & Hepatology volume 5, pages 527–530 (2008)Cite this article

Abstract

Background A 19-year-old white woman presented with a 6-month history of progressively worsening dysphagia.

Investigations Esophagogastroduodenoscopy, esophageal biopsies followed by histological evaluation of biopsy samples including immunohistochemical staining for herpes simplex virus.

Diagnosis Herpes esophagitis with concurrent eosinophilic esophagitis.

Management Valaciclovir and fluconazole.

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Figure 1: Endoscopy and histology of the case patient at initial presentation.
Figure 2: Endoscopy and histology of the case patient at second presentation.

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Acknowledgements

The authors would like to thank Kevin Struckhoff for his assistance.

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Authors and Affiliations

  1. GM Lindberg and MH Saboorian are staff pathologists at Caris Diagnostics in Dallas, TX, USA.,

    Guy M Lindberg & Mohammad H Saboorian

  2. R Van Eldik is a member of Gastroenterology Associates of Ocala, FL, USA.,

    Richard Van Eldik

Authors
  1. Guy M Lindberg
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  2. Richard Van Eldik
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  3. Mohammad H Saboorian
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Corresponding author

Correspondence to Guy M Lindberg.

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Competing interests

Guy Lindberg and Mohammad H Saboorian are stock-holders/directors of Caris Diagnostics. Richard Van Eldik declared no competing interests.

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Lindberg, G., Van Eldik, R. & Saboorian, M. A case of herpes esophagitis after fluticasone propionate for eosinophilic esophagitis. Nat Rev Gastroenterol Hepatol 5, 527–530 (2008). https://doi.org/10.1038/ncpgasthep1225

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