Esophageal Ulcers – Herpes

Esophageal Ulcers – Herpes:

Causes :

• peptic-reflux, barret, crohn, dermatologic [BMMP, EB, Behcet’s].
• infectious – HSV, CMV, HIV
• injury – corrosives, etoh, drugs, xrt, NG
• cancer

Size small :

• HSV, reflux, Behcet, BMMP, XRT
• large – CMV, HIV, cancer

Workup/TX :

• suspicious for malignancy – referred for endoscopic evaluation
• HIV – determine etiology and treat with antivirals as indicated
• peptic – supress acid secretion

CMV
Larger ulcers

HIV
Giant ulcers