Esophagitis Dissecans Superficialis in a 47-Year-Old Female With Dysphagia and Epigastric Pain: A Case Report
Abstract
Esophagitis dissecans superficialis (EDS) is an infrequently diagnosed benign esophageal disease that presents with sloughing of the esophageal mucosa into the esophageal lumen. It often presents after esophageal irritation but may also occur idiopathically. Treatment is approached by cessation of the offending agent and initiation of a proton pump inhibitor (PPI). We present the case of a 47-year-old female with persistent epigastric pain and dysphagia despite twice-daily PPI use. The patient had several known risk factors for EDS. Diagnosis was subsequently confirmed by upper endoscopy and histopathological analysis. The patient was advised to continue PPI treatment indefinitely.
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Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
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