Under the Microscope: How would you diagnose this case?

A 63 year-old woman with no significant medical history presented with dysphagia and odynophagia. Endoscopy revealed esophageal rings or “trachealization.” (Figure 1). A photomicrograph of the submitted biopsy material shows an infiltrate of chronic inflammatory cells (Figure 2). What is your diagnosis?

a) Normal esophageal mucosa. d) Candida esophagitis.
b) Lymphocytic esophagitis. e) Eosinophilic esophagitis.
c) Reflux esophagitis.

Answer: Lymphocytic esophagitis. See article

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The entire team is extremely helpful, very available and hands on! The pathologists always give accurate and specific information, they request stains and notify us every step of the way.
— Saaima Farooq, Administrator, and Andleeb Usmani, DO,
TruDerm PA, Wellington, Fla.

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