It’s Hard to Swallow: Using Histology When Endoscopy Fails



Question: A 28-year-old male from the southeast United States presented with 2 months of hoarse voice, dysphonia, progressive dysphagia to solids, and postprandial bloating. He denied fever, night sweats, weight loss, regurgitation, vomiting, or abdominal pain. He denied tobacco use and reported consuming approximately 2 standard alcoholic drinks per week. He was a student and denied occupation exposures, prior incarceration, high-risk sexual exposures, or extended travel outside of the United States.

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