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Esophageal Malfunction: Can You Name the Cause?

Esophageal Malfunction: Can You Name the Cause?

A 24-year-old man presents to the emergency room with a food impaction after eating roast beef for dinner. He is able to control his secretions. On review of systems, he notes difficulty in swallowing certain solid foods during the past few months and eating at a slower pace than others. His only medication is ibuprofen as needed. He undergoes upper endoscopy, which demonstrates concentric rings and longitudinal furrows in his esophagus.

Which of the following is the most likely diagnosis?

A. Pill-induced esophagitis

B. Erosive esophagitis

C. Peptic stricture

D. Eosinophilic esophagitis

E. Candidal esophagitis

Please leave your thoughts below. Then, click here for answer and explanation.

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