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Pill‑induced esophagitis (drug‑induced esophagitis)
2 Endoscopy 1 Clinical case B Esophagus dysphagia, odynophagia, pill‑induced esophagitis, drug‑induced esophagitis, antibiotics, doxycycline, nsaids, bisphosphonates, potassium chloride
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Author: SCANNI Stefania, Roma Italy
Pill‑induced esophagitis (drug‑induced esophagitis) is an acute injury of the esophageal mucosa caused by medications that lodge and dissolve in the esophagus, producing local caustic damage. It typically presents with sudden retrosternal pain, odynophagia, and dysphagia.
It occurs when a medication remains in contact with the esophageal lining, releasing acidic, alkaline, or hyperosmolar contents that injure the mucosa.
High‑risk drug classes are: Antibiotics (Doxycycline, tetracycline, clindamycin), NSAIDs (Ibuprofen, naproxen), Bisphosphonates (Alendronate), Potassium chloride (KCl tablets)
In this case the patient intaked Doxycycline
