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A 50-year-old woman presented with a 4-month history of progressive dysphagia and associated weight loss. Her medical history was unremarkable, and she was not taking any medication. Gastroscopy revealed a tight impassable stricture at 30 cm (figure 1A) confirmed on barium swallow (figure 1B). Biopsies from the stricture were reported as consistent with reflux oesophagitis with no evidence of malignancy. The stricture was dilated revealing a short segment of normal distal oesophagus above a small hiatus hernia. She was started on a high-dose proton pump inhibitor. She re-presented 3 months later with recurrent dysphagia and again had …
Contributors JNG and TA drafted the manuscript. AAB analysed the histopathological specimens and prepared the histopathology images. JNG made the diagnosis and conceived of the paper. All three authors critically reviewed the revised manuscript and approved the final draft.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.