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Quinaglute-lnduced Esophagitis Mimicking an Esophageal Mass

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The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army, the Department of Defense, or the Uniformed Services University of the Health Sciences.

▸Requests for reprints should be addressed to Roy K. H. Wong, M.D.; Gastroenterology Service, Walter Reed Army Medical Center; Washington, DC 20307-5001.

Walter Reed Army Medical CenterWashington, D.C.; and the Uniformed Services University of the Health Sciences, Bethesda, Maryland .

Ann Intern Med. 1986;105(1):62-63. doi:10.7326/0003-4819-105-1-62
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This excerpt has been provided in the absence of an abstract.

In a recent review on pill-induced esophagitis, Kikendall and associates (1) emphasize that although more than 230 cases have been reported, the condition remains underdiagnosed. We describe the case of a patient with debilitating esophagitis induced by Quinaglute Dura-Tabs (quinidine gluconate; Berlex Laboratories, Cedar Knolls, New Jersey) that remained undiagnosed for 8 months despite several subspecialty consultations and multiple procedures.

A 76-year-old white man was admitted to Walter Reed Army Medical Center with a history of progressive dysphagia. Eight months earlier, he had noted a sore throat on swallowing with gradual but progressive solid-food dysphagia. At another medical center, a


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