Complete Recovery from Iron-Induced Esophageal Ulcer While Continuing Pill Ingestion

Autor: Piyakorn Poonyam, Asawin Sudcharoen, Therdkiat Trongwongsa, Piyanant Chonmaitree
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Siriraj Medical Journal, Vol 68, Iss 6, Pp 377-380 (2016)
Druh dokumentu: article
ISSN: 2228-8082
DOI: 10.14456/smj.2016.27
Popis: Iron is one of the common causes of pill-induced esophagitis with a proposed mechanism involving direct esophageal injury. Diagnostic endoscopic finding includes finding an intact pill or its residue on endoscopy, but they are rarely found. Pathology typically reveals luminal brown-black crystalline materials adjacent to the injured surface epithelium or in combination with luminal fibroinflammatory exudate. Brown crystalline material on Perl’s staining is the typical finding of iron-induced esophagitis. Crucial treatment is cessation of medication. We report an elderly woman diagnosed with iron-induced esophageal ulcer whose ulcers improved while iron medication was maintained.
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