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Text
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URL Address
<a href="http://doi.org/10.1043/2010-0128-C.1" target="_blank" rel="noreferrer noopener">http://doi.org/10.1043/2010-0128-C.1</a>
Pages
797–798
Issue
6
Volume
135
Dublin Core
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Title
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A case of black esophagus with histopathologic description and characterization.
Publisher
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Archives of Pathology & Laboratory Medicine
Date
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2011
2011-06
Subject
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Acute Disease; Esophagitis/complications/*diagnosis; Esophagus/blood supply/*pathology; Fatal Outcome; Female; Humans; Ischemia/complications/*pathology; Middle Aged; Necrosis; Substance-Related Disorders
Creator
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Altenburger Dana L; Wagner Aaron S; Li Shuan; Garavaglia Jan
Description
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Black esophagus, or acute necrotizing esophagitis, is a blackening of the esophagus that is usually distal with a sharp demarcation at the gastroesophageal border. Black esophagus is known to the gastroenterology community; however, to our knowledge it is virtually unknown in the pathology literature with only a single instance described in 1967. It is thought to occur as a poorly elucidated ischemic phenomenon. We report a case of black esophagus in a 45-year-old woman with a history of cocaine and alcohol abuse who was found unresponsive after a vague 2-day illness. On autopsy examination, the esophagus was black with ischemic necrosis of the mucosa, submucosa, and muscularis propria including a diffuse acute inflammatory infiltrate and brown pigmentation limited to the mucosa. Positive periodic acid-Schiff and negative iron stains suggest that the pigment is lipofuscin, likely secondary to ischemia.
Identifier
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<a href="http://doi.org/10.1043/2010-0128-C.1" target="_blank" rel="noreferrer noopener">10.1043/2010-0128-C.1</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2011
Acute Disease
Altenburger Dana L
Archives of pathology & laboratory medicine
Esophagitis/complications/*diagnosis
Esophagus/blood supply/*pathology
Fatal Outcome
Female
Garavaglia Jan
Humans
Ischemia/complications/*pathology
Li Shuan
Middle Aged
Necrosis
Substance-Related Disorders
Wagner Aaron S