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Shaggy white lesion with morphological changes in the oesophagus
  1. Tomoya Ueda,
  2. Yohei Yabuuchi,
  3. Tetsuro Inokuma
  1. Department of Gastroenterology, Kobe City Medical Center General Hospital, Kobe, Japan
  1. Correspondence to Dr Yohei Yabuuchi, Department of Gastroenterology, Kobe City Medical Center General Hospital, Kobe, Japan; yohei_yabuuchi{at}

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A 55-year-old man with no pertinent medical history was referred to our hospital for dysphagia. He was an ex-smoker and a habitual alcohol drinker. Physical and laboratory examination revealed no abnormal findings. Oesophagogastroduodenoscopy revealed a web stricture in the upper thoracic oesophagus, which could not traversed with the endoscope. Dysphagia was treated with cessation of alcohol intake and commencement of proton pump inhibitor therapy.On repeat oesophagogastroduodenoscopy performed 1 month later, the stricture improved and a well-demarcated, shaggy white lesion was observed in the mid-thoracic oesophagus (figure 1A). The lesion did not retain Lugol’s iodine on staining procedures (figure 1B). Targeted biopsies of unstained areas …

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  • Contributors TU drafted the manuscript. YY provided critical revisions. TI supervised the development of the manuscript. All authors read and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.