PMID: 15220682Jun 29, 2004Paper

Mid-esophageal ulceration and candidiasis-associated distal esophagitis as two distinct clinical patterns of tetracycline or doxycycline-induced esophageal injury

Journal of Clinical Gastroenterology
Rasim GencosmanogluEbru Sen Oran

Abstract

Tetracyclines may cause esophageal injury. The aims of this study are to describe 2 distinct clinical patterns of esophageal injury induced by tetracycline or its derivate doxycycline and to compare these patterns with respect to demographic, endoscopic, and clinical characteristics of the patients. Forty-eight patients with the diagnosis of doxycycline- or tetracycline-induced esophageal injury by endoscopy were analyzed retrospectively. The patients were considered in 2 groups according to the type and the location of esophageal lesions (Group A: mid-esophageal ulceration, n = 18; Group B: distal esophagitis, n = 30). Patients in Group A were significantly younger than in Group B (P = 0.0014). In Group A, 15 patients (83%) had single ulceration, 2 (11%) double, and 1 (6%) circumferential at the mid-esophagus. In Group B, all patients had multiple micro-ulcerations in the distal esophagus. Development of mid-esophageal ulceration was induced predominantly by doxycycline, whereas distal esophagitis was induced by tetracycline. The description of drug ingestion with little or no water by patients in Group A was significantly more frequent than in Group B (94% vs. 10%, P < 0.001). Associated medical and benign gastric diseases an...Continue Reading

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Citations

Sep 10, 2008·Cases Journal·Veysel TahanFaysal Dane
Jul 20, 2012·International Journal of Nanomedicine·Natasha F CoverArun Kumar
Feb 9, 2008·Drugs & Aging·Namal Weerasuriya, Jeremy Snape
Jan 31, 2012·The British Journal of Dermatology·B Lebrun-VignesUNKNOWN French Network of Regional Centers of Pharmacovigilance
Aug 26, 2011·Histopathology·Aoife Maguire, Kieran Sheahan
Nov 12, 2014·Nature Reviews. Gastroenterology & Hepatology·Pranab K MukherjeeMahmoud A Ghannoum
Jan 26, 2017·International Journal of Cancer. Journal International Du Cancer·John BusbyChris R Cardwell
Dec 24, 2016·The American Journal of Surgical Pathology·Angela R ShihJoseph Misdraji
Nov 12, 2019·The Journal of International Medical Research·Yan GuoYa-Hong He

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