Year 2017 / Volume 109 / Number 8
Letter to the Editor
Idiopathic esophageal ulcer as an initial manifestation of HIV infection

596-597

DOI: 10.17235/reed.2017.5135/2017

Alicia Martín-Lagos Maldonado, Julio Guilarte López-Mañas, Alberto Benavente Fernández,

Abstract
The esophageal ulcer us a common complication in people affected by the acquired human immunodeficiency virus (HIV), especially in the final stages and in patients who develop an acute retroviral syndrome. Although, it can be caused by various infectious agents, such as species of candida, cytomegalovirus (CMV) and herpes simplex virus (HSV), no aetiological agent is successfully identified in a large proportion of patients and it is classified as idiopathic. We report the case of an idiopathic esophageal ulcer associated with the initial diagnosis of HIV-1.
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References
1 Bonacini M, Young T, Laine L: The causes of esophageal symptoms in human immunodeficiency virus infection. A prospective study of 110 patients. Arch Intern Med 1991;151:1567-72.
2 Rabeneck L, Popovic M, Gartner S, et al. Acute hiv infection presenting with painful swallowing and esophageal ulcers. JAMA 1990;263:2318-22.
3 Wilcox CM, Schwartz DA, Clark WS: Esophageal ulceration in human immunodeficiency virus infection. Causes, response to therapy, and long-term outcome. Ann Intern Med 1995;123:143-9.
4 Hamada Y, Nagata N, Honda H, et al. Idiopathic oropharyngeal and esophageal ulcers related to hiv infection successfully treated with antiretroviral therapy alone. Intern Med 2013;52:393-5.
5 Nishijima T, Tsukada K, Nagata N, et al. Antiretroviral therapy alone resulted in successful resolution of large idiopathic esophageal ulcers in a patient with acute retroviral syndrome. AIDS 2011;25:1677-9.
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Martín-Lagos Maldonado A, Guilarte López-Mañas J, Benavente Fernández A. Idiopathic esophageal ulcer as an initial manifestation of HIV infection. 5135/2017


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Publication history

Accepted: 21/06/2017

Online First: 26/06/2017

Published: 31/07/2017


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