Published online Mar 28, 2017. doi: 10.3748/wjg.v23.i12.2246
Peer-review started: January 12, 2017
First decision: February 9, 2017
Revised: February 24, 2017
Accepted: March 4, 2017
Article in press: March 4, 2017
Published online: March 28, 2017
Focal dermal hypoplasia (FDH) is a rare disorder of the mesodermal and ectodermal tissues. Here we present an eight-year-old female known to have FDH who presents with poor weight gain and dysphagia. She was diagnosed with multiple esophageal papillomas and eosinophilic esophagitis. She was successfully treated with argon plasma coagulation and ingested fluticasone propionate, which has not been described previously in a child.
Core tip: Focal dermal hypoplasia (FDH) is a rare connective tissue disorder associated with squamous papillomas of the esophagus in older individuals. This case discusses an 8-year-old female with FDH who presented with dysphagia. She was found to have esophageal papillomas and eosinophilic esophagitis. Treatment of eosinophilic esophagitis is highlighted. Argon plasma coagulation has been shown to be safe for use in the small diameter of the esophagus of children but not specifically for destruction of esophageal papillomas. A successful approach to debulking esophageal papillomas in a child using argon plasma coagulation is described in this case.