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TL;DR
A 6-year-old girl presented with a 4-month history of dysphagia, salivation, abdominal pain, and anemia.
JPGN reports · 3 authors, 3 centres
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A 6-year-old girl presented with a 4-month history of dysphagia, salivation, abdominal pain, and anemia.
A 6-year-old girl presented with a 4-month history of dysphagia, salivation, abdominal pain, and anemia. Upper endoscopy confirmed severe esophagitis (grade D) with erosions, and impedance-pH monitoring showed 368 reflux episodes. After exclusion of cardiac, pulmonary, and celiac disease, she was treated with esomeprazole, oral iron, and antireflux measures. Symptoms and endoscopic findings improved significantly, but a PPI dose reduction led to relapse, prompting a successful Nissen fundoplication. The implication is that clinicians should consider gastrointestinal causes in patients with unexplained digital clubbing.