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Self-Assessment Questions


Answer 1
  1. Eosinophilic esophagitis. Eosinophilic esophagitis commonly presents with recurrent dysphagia, often with food impactions. Many patients have a history of prior or concurrent asthma, food allergies, or eczema. Endoscopic findings may include a ringed esophagus, vertical furrows, small white plaques, and friable mucosa; however, some patients have a normal-appearing esophagus. In achalasia, endoscopy would demonstrate a dilated esophagus with a tight lower esophageal sphincter. Scleroderma would present with a pipe-like esophagus and severe erosive esophagitis. Large, raised, yellow-white plaques would be evident on endoscopy if the patient had esophageal candidiasis. Schatzki’s rings can cause solid food dysphagia but rarely produce food impaction.

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