What disease would we suspect in a young patient with a frequent history of dysphagia to solids and liquids with repeated food impactions, without symptoms of heartburn and in whom oral endoscopy shows multiple concentric esophageal rings with normal mucosa (trachealized appearance)?
The endoscopic appearance of trachealized esophagus is very typical of eosinophilic esophagitis, which presents with dysphagia and repeated food impactions.
Herpetic esophagitis.
Eosinophilic esophagitis.
Candidiasis esophagitis.
Cytomegalovirus esophagitis.
Adenocarcinoma of the esophagus.
The endoscopic appearance of trachealized esophagus is very typical of eosinophilic esophagitis, which presents with dysphagia and repeated food impactions.