Korean J Gastrointest Endosc > Volume 10(2); 1990 > Article

Korean Journal of Gastrointestinal Endoscopy 1990;10(2): 301-304.

신이식 후 발생한 헤르페스 식도염 1예 ( Herpetic Esophagitis in a Renal Transplant Patient )

김미정, 조길우, 이숭, 최성규, 유종선, 최기철, 김세종, 윤종만 (Mi Jung Kim, Keal Woo Cho, Soong Lee, Sung Kyu Choi, Jong Sun Rew, Ki Chul Choi, Sei Jong Kim and Chong Mann Yoon)

Abstract

Herpetic esophagitis is a rare diaease and is usually deecribed in autopsied reports. Most of the cases are reported in an immunocompromised host. We report a patient with herpetic esophagitis, following renal transplantation and longstanding steroid therapy due to rejectioh phenomenon. The patient complained of dysphagia and odynophagia. Endoscopic finding revealed multiple scattered or confluent erosions and hemorrhagie tendency, diffusely scattered linear or confluent shallow ulcer covered by a whitish exudate on a elevated margin. Microscopic finding revealed uicerated squamous epithelium of ballooning degeneration, ground glass nuclei, multinuclear giant cell and intranuclear inclusion body. The patient responded dramatically to intravenous acyclovir and leading to syniptomatic and endoscopic improvement.