Esophageal ulcers in immunodeficiency with elevated levels of IgM and neutropenia
J. A. Vanderhoof, K. C. Rich, E. R. Stiehm and M. E. Ament
A 17-year-old boy with immunodeficiency, elevated levels of IgM,and
neutropenia developed distal esophageal ulcers and stricture. Although his
lower esophageal sphincter pressure was decreased, he had normal acid
reflux test results, normal findings from acid clearing studies, and
absence of diffuse esophagitis at esophagoscopy. Neutropenia and
hypogammaglobulinemia are postulated as pathogenic factors in his
esophageal ulcers.
