TY - JOUR T1 - A 52-year-old man with heartburn and weight loss JF - Gut JO - Gut SP - 1267 LP - 1267 DO - 10.1136/gutjnl-2014-308938 VL - 64 IS - 8 AU - Giuseppe Gizzi AU - Maria Pia Foschini AU - Carlo Fabbri AU - Lorenzo Fuccio Y1 - 2015/08/01 UR - http://gut.bmj.com/content/64/8/1267.abstract N2 - A previously fit and well 52-year-old man presented to the hospital with a 3-month history of refractory heartburn and progressive weight loss (5 kg). After an initial response to empiric treatment with 20 mg omeprazole daily, heartburn relapsed and became refractory to proton pump inhibitor. His past medical history and physical examination were unremarkable. Upper endoscopy showed a thick white membrane in the distal part of the oesophagus, crossing the gastro-oesophageal junction (figure 1A); the mucosa surrounding the distal margin was slightly depressed but not reddened. An initial diagnosis of candidosis was suggested and the patient … ER -