Viral Esophagitis

Herpes: Multiple small, discrete, punched-out ulcers on background of normal mucosa

CMV and HIV: 1 or more large, flat ulcers

HPV: Multiple papillary excrescences

EBV: Deep, linear ulcers

TOP DIFFERENTIAL DIAGNOSES

• Candida, reflux, or drug-induced esophagitis

• Impaired immune surveillance: Radiation and chemotherapy render esophageal mucosa vulnerable to infection

• Odynophagia is most common presenting symptom

• Herpes: Usually in immunocompromised patients but can occur in otherwise healthy patients

Especially in sexual partners of patients with active herpes infection

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Nov 16, 2016 | Posted by admin in GASTROINTESTINAL IMAGING | Comments Off