| Summary: | Introduction. Epidermolysis bullosa is a rare skin disease which could be
hereditary or acquired with autoimmune mechanism. Even though it is known
that epidermolysis bullosa appears on various mucosa, the esophagus is seldom
affected. Case report. We reported 19-year-old female patient who had been
admitted due to dysphagia and odynophagia to solid food. Erythematous
changes with bullae and excoriations could be found on the hands, feet,
elbows and knees. The patient underwent barium swallow which revealed
retaining of contrast in the valleculas and piriform recesses, as well as
dilatation of meso- and hypopharynx - upper achalasia syndrome. The cause was
stenosis at the level of upper functional sphincter of the esophagus, 10 mm
in length with benign apperance. Small leakage of contrast into the trachea
was visible at the later stage of examination, concomitant with volume load
of the pharynx. Bullae were not detected. The whole esophagus was fairly
uniformly stenotic and had fibrotic appearance. Conclusion. The authors
emphasize that barium swallow can provide sufficient information regarding
stenosis, dynamics of the disorder, as well as the stage of the disease.
Furthermore, we highlight the importance of providing a complete diagnostic
strategy in all dermatology patients who could simultaneously have mucous
changes.
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