一名患史蒂文斯-约翰逊综合征的小儿出现食管表皮增生症

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2024-09-13 eCollection Date: 2024-09-01 DOI:10.14309/crj.0000000000001508

Maria Elena Sanchez-Anguiano, Kurt B Schaberg, Trinh T Truong

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引用次数: 0

摘要

食管表皮变性（EEM）是一种罕见病症，在史蒂文斯-约翰逊综合征（SJS）中未曾出现过，在儿科中也仅出现过一次。目前尚未确定 SJS、食管狭窄和 EEM 之间的关系、治疗或监测方法。我们报告了首例 EEM 病例，患者是一名 8 岁女孩，在 SJS 后出现食管狭窄。对 SJS 后出现吞咽困难的儿童患者应进行食管狭窄和随后 EEM 发展的评估。由于 EEM 与食管鳞状细胞癌有关，因此应考虑进行密切随访、活检监测发育不良情况、内窥镜治疗和 TP53 基因测序。

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Development of Esophageal Epidermoid Metaplasia in a Pediatric Patient After Stevens-Johnson Syndrome.

Esophageal epidermoid metaplasia (EEM) is a rare condition that has not been described in Stevens-Johnson syndrome (SJS) and has only been described once in pediatrics. Neither the relationship, treatment, nor surveillance between SJS, esophageal strictures, and EEM has been established. We report the first case of EEM in an 8-year-old girl with esophageal stricture after SJS. Pediatric patients presenting with dysphagia after SJS should be evaluated for esophageal stricture and subsequent EEM development. Owing to EEM's, association with esophageal squamous cell cancer, close follow-up, biopsy surveillance for dysplasia, endoscopic treatment, and TP53 genetic sequencing should be considered.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.