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Dysphagia in a patient with lupus and review of the literature

Department of Rheumatology, Harold Wood Hospital, Romford, Essex, UK

H Dodd

Department of Dermatology, Harold Wood Hospital, Romford, Essex, UK

I T Saeed

Department of Histopathology, Harold Wood Hospital, Romford, Essex, UK

K Chakravarty

Department of Rheumatology, Harold Wood Hospital, Romford, Essex, RM7 0BE, UK Kuntalchakravarty{at}haveringh-tr.nthames.nhs.uk

Dysphagia is not infrequent in patients with connective tissue diseases such as scleroderma, polymyositis or systemic lupus erythematosus (SLE). It is usually the result of gastro-oesophageal reflux but dysmotility can equally be responsible. A case of dysphagia is described in a patient with SLE, who had developed a rare variety of bullous mucous disease affecting the whole length of oesophagus with spontaneous extrusion of an oesophageal cast. Histological features were suggestive of a variant of rare form of bullous disease in SLE called epidermolysis bullosa acquisita (EBA). This rare association of SLE and EBA involving the oesophagus has not been described in the literature.

Key Words: SLE • EBA • dysphagia

Lupus, Vol. 11, No. 5, 322-324 (2002)
DOI: 10.1191/0961203302lu195cr


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