Pediatric Sloughing Esophagitis: A Case Report and Discussion

ABSTRACT

Background: Sloughing esophagitis is an uncommon entity with an unclear pathogenesis characterized by desquamating sheets of squamous mucosa. It has been associated with bullous dermatologic disorders, other autoimmune diseases and has been most commonly reported in elderly, debilitated individuals on multiple medications. Case report: We report sloughing esophagitis in a previously healthy 17 year-old girl. While the initial trigger of her esophagitis is unclear, she improved with proton pump inhibitor therapy and swallowed fluticasone, with complete resolution after 6 months. Conclusions: Sloughing esophagitis can occur in the pediatric population. We discuss the presentation, differential diagnosis, and treatment of sloughing esophagitis in adolescents.

KEYWORDS:

• endoscopy
• esophagitis
• gastroenterology
• pediatrics

Disclosure of interest

The authors report no conflict of interest.

Additional information

Funding

This research received no funding from any agency in the public, commercial, or not-for-profit sectors.