Upper Gastrointestinal Bleeding Due to Idiopathic Oesophageal Ulceration in the Era of HAART: A Vanishing yet Pernicious Aetiology
Published: May 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/26205.9902
Sofia Nigar, Tagore Sunkara, Mel A Ona, Vinaya Gaduputi, Madhavi Reddy
1. Fellow, Department of Gastroenterology, The Brooklyn Hospital Center, Brooklyn, New York, USA.
2. Fellow, Department of Gastroenterology, The Brooklyn Hospital Center, Brooklyn, New York, USA.
3. Fellow, Department of Gastroenterology, The Brooklyn Hospital Center, Brooklyn, New York, USA.
4. Attending Physician, Department of Gastroenterology, SBH Health System, Bronx, New York, USA.
5. Attending Physician, Department of Gastroenterology, The Brooklyn Hospital Center, Brooklyn, New York, USA.
Correspondence
Dr. Tagore Sunkara,
240 Willoughby St, 16G, Brooklyn, New York, USA.
E-mail: tagoresunkara@hotmail.com
Oesophageal ulcers are a rare cause of upper Gastrointestinal Bleeding (GIB). In patients with Acquired Immune Deficiency Syndrome (AIDS), oesophageal diseases including oesophageal ulcers are very common. Idiopathic Oesophageal Ulcers (IOU) comprises a subgroup of oesophageal ulcers with no identifiable cause. IOU mainly present as odynophagia, retrosternal chest pain, decreased oral intake, and weight loss. Upper GIB is a rare presentation. In the era of Highly Active Anti Retroviral Therapy (HAART), with improvement in CD4 count, this entity is almost forgotten.
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