Peeling Back the Layers: Sloughing Esophagitis in a Teenager with Chronic Vomiting

JPGN Rep. 2023 Nov 13;4(4):e376. doi: 10.1097/PG9.0000000000000376. eCollection 2023 Nov.

Abstract

Esophagitis dissecans superficialis (EsoDS) is a rare condition characterized by the shedding of superficial esophageal epithelium. Limited data exists on EsoDS in the pediatric population. We present a case of a 17-year-old female with chronic nausea and vomiting diagnosed with EsoDS. Endoscopy revealed esophageal mucosal sloughing, and histology confirmed esophagitis with mucosal necrosis. EsoDS is underrecognized, and its association with psychoactive medications remains unclear. Fortunately, EsoDS cases tend to resolve spontaneously without complications. Awareness of EsoDS is essential, and further research is needed to understand its prevalence and outcomes in pediatric patients.

Keywords: endoscopy; esophageal disorder; esophagitis dissecans superficialis; pediatric gastroenterology.

Publication types

  • Case Reports