Idiopathic Ulcerative Esophagitis

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Abstract
THIS is a report of an unusual case of ulcerative disease of the esophagus that began in the lower third, progressed over a period of months and finally involved the entire length of the esophagus. There was loss of much of the mucosa and destruction of the muscular coats in several places leading to stenosis and multiple perforations, which caused abscesses in the mediastinum and right lung. Complicating processes included: perianal abscesses and fistulas; erythema nodosum; migratory arthritis; pyoderma gangraenosum; splenomegaly; and hepatic dysfunction. These complications, the patient's youth and his rapid deterioration suggested ulcerative colitis, but ulcers were found . . .

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