Esophageal stenosis with sloughing esophagitis: A curious manifestation of graft-vs-host disease

Figure 1 Skin lesions of the lower limbs, with erythematous papules and induration areas.

Figure 2 Regular stenosis with 5 mm in diameter at the upper third of the esophagus (17 cm from the dental arch).

Figure 3 Friability and extensive detachment of the esophageal mucosa (esophageal mucosa sloughing) after balloon dilation.

Figure 4 Irregularity of the bulboduodenal mucosa, with hyperemia and pearly areas.

Figure 5 Microscopy. Esophageal mucosa with dyskeratotic squamous cells, apoptosis of individual squamous cells, acanthosis and spongiosis. Hematoxylin-eosin staining, magnification × 100 (A), × 200 (B), respectively.