Article Text

Download PDFPDF
Case report
Late-onset ‘sloughing esophagitis’ (esophagitis dissecans superficialis) associated with bullous pemphigoid
  1. Eliana Carolina Morel-Cerda,
  2. Bryan Adrian Priego-Parra,
  3. Peter Grube-Pagola and
  4. Jose Maria Remes-Troche
  1. Laboratorio de Fisiologia Digestiva y Motilidad, Instituto de Investigaciones Medico Biologicas, Veracruz, Mexico
  1. Correspondence to Dr Jose Maria Remes-Troche; jose.remes.troche{at}


Pemphigus is a rare autoimmune disease that causes blistering of the skin and oral mucosa. In bullous pemphigoid (BP), skin involvement is predominant, whereas oesophageal involvement is rare, compared with other blistering diseases. We present, herein, the case of a 67-year-old man with a history of successfully treated BP that 2 years later developed progressive dysphagia, unintentional weight loss and iron deficiency anaemia. An endoscopy with biopsies was performed, and its findings were consistent with ‘sloughing esophagitis’ (esophagitis dissecans superficialis) associated with BP. Oesophageal involvement was present during the first weeks, making our case unusual due to the isolated oesophageal symptoms that developed 24 months later.

  • skin
  • endoscopy
  • oesophagus
  • pathology
View Full Text

Statistics from


  • Twitter @ElianaMorel7, @atomoxetina

  • Contributors ECM-C and JMR-T conducted, collected data, wrote and design the study. BAP-P and PG-P collected data, provided images and histological information.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.