ANDREW L. HAHN, M.D.
To the editor: The discussion of gastrointestinal manifestations in epidermolysis bullosa dystrophica (recessive)
by Orlando and colleagues (Ann Intern Med 81:203-206, 1974) was most informative. However, I suggest that the mucosal alterations in their Figure 2A do not, as they propose, represent bullae in the upper esophagus; rather, these changes are highly characteristic of esophageal intramural diverticulosis.
This entity, first described by Mandl, McKay, and Tanner (1) in 1960 and recently reviewed by Hammon and associates (2) has been uniformly associated with dysphagia, which in several cases was due to esophageal stricture; in some instances it has been shown to
HAHN AL. Esophageal Epidermolysis Bullosa Dystrophica?. Ann Intern Med. ;82:427. doi: 10.7326/0003-4819-82-3-427_1
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Published: Ann Intern Med. 1975;82(3):427.
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