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Dysphagia in a young female patient: it’s not always that simple
  1. Joana Carvão1,
  2. Armando Peixoto2,
  3. Elisabete Rios3,
  4. Guilherme Macedo4
  1. 1Gastroenterology, Hospital Central do Funchal, Funchal, Portugal
  2. 2Gastroenterology, Centro Hospitalar São João, Faculty of Medicine of the University of Porto, Porto, Portugal
  3. 3Histopathology, Centro Hospitalar São João, Faculty of Medicine of the University of Porto, Porto, Portugal
  4. 4Gastroenterology, Centro Hospitalar São João, Faculty of Medicine of the University of Porto, Porto, Portugal
  1. Correspondence to Dr Joana Carvão, Gastroenterology Department, Hospital Central do Funchal, 9004-514 Funchal, Portugal; joanacarvao{at}hotmail.com

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Clinical presentation

A 42-year-old female patient was referred to our gastroenterology department with a 4-month history of weekly symptoms of dysphagia for solids and liquids. The patient also reported occasional symptoms of food impaction and heartburn. She denied nausea, vomiting, weight loss or a recent change in bowel habits. The patient was not under any medication. Medical or surgical history was unremarkable. There was no family history of gastrointestinal cancer. Physical examination was normal, and laboratory tests did not reveal anaemia or other abnormalities. She underwent an oesophagogastroduodenoscopy, and the oesophagus is shown in figure 1. Biopsies were performed in the upper and lower parts of the oesophagus and …

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Footnotes

  • Contributors JC wrote the manuscript. JC, AP and ER reviewed the literature and collected the images. All authors edited the manuscript. JC is the article guarantor.

  • 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.

  • Patient consent for publication Obtained.

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

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