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American Journal of Roentgenology, Vol 142, Issue 3, 501-506
Copyright © 1984 by American Roentgen Ray Society

Articles

Radiographic features of esophageal involvement in chronic graft-vs.-host disease

GB McDonald, KM Sullivan, and TF Plumley

Chronic graft-vs.-host disease (GVHD) is an important late complication of allogeneic bone-marrow transplantation. It resembles several naturally occurring autoimmune diseases and involves the skin, mouth, eyes, liver, and esophagus. The radiographic findings of 14 symptomatic patients with chronic GVHD involving the esophagus were reviewed and found to include webs, ringlike narrowings, and tapering strictures in the mid and upper esophagus. Esophagoscopy revealed characteristic desquamation in the 13 patients studied, but barium studies detected this lesion in only one patient. Knowledge of the site and characteristics of esophageal involvement with chronic GVHD assists the radiologic evaluation of this disorder.
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P. Luedtke, M. S. Levine, S. E. Rubesin, D. S. Weinstein, and I. Laufer
Radiologic Diagnosis of Benign Esophageal Strictures: A Pattern Approach
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