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What is the diagnosis? Follow us and come back next week for the answer!
Presented by Angel de Dios MD, under the supervision of Maria Isabel Fiel MD, while on the Gastrointestinal rotation.
Age: 24 years
Sex: Female
Site: Esophagus
Procedure: Esophagogastroduodenoscopy (EGD) with biopsy
Clinical history: 24-year-old female with ulcerative colitis and celiac disease who has been on Humira for 4 years and except for a recent flare with some diarrhea had been doing well. She developed episodes of RUQ pain and intractable nausea. EGD showed stomach full of bezoar and undigested food.
Gross description: Endoscopy:

White plaques or sloughing membranes. Typically form a cast of esophageal lumen. Also erosions/ulcers, bleeding, webs, longitudinal tears/fissures, circumferential breaks/cracks, esophagitis

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