Citation

Nelson KK, Clayton SB, Champeaux AL, Feldman JC, Richter JE. ACG Case Rep. J. 2015; 2(2): 83-85.

Affiliation

Department of Internal Medicine, Division of Digestive Diseases and Nutrition, Joy McCann Culverhouse Center for Swallowing Disorders, University of South Florida Morsani College of Medicine, Tampa, FL.

Copyright

(Copyright © 2015, American College of Gastroenterology)

DOI

10.14309/crj.2015.12

PMID

26157921

PMCID

PMC4435379

Abstract

A 50-year-old man with a history of epilepsy controlled with phenytoin presented for evaluation of dysphagia. History revealed the patient was taking his phenytoin daily without water. Barium esophagram showed severe stricturing of the mid-esophagus. Upper endoscopy revealed diffuse gross mucosal abnormality with a thick stricture and occasional exudate. Biopsies were consistent with a drug-induced injury with lymphocytic infiltration and epithelial cell necrosis.

Language: en