the image is not sharp. it looks like esophageal candidiasis. there seems to be some background esophagitis, which could be becos of other reasons as well ...like other concommitant infections of the esophagus ex. - herpes, CMV, HIV etc. Also it could be reactions to drugs that the person may be taking. i hope this is the esophagus and not the colon :hhh: in which case I will go for pseudomembranous colitis (-: so 2 main differentials depending on the location esophageal candidiasis & pseudomembranous colitis
Considering the amount of background inflammation ( fire ), I will go 4 UC ( Ulcerative Colitis ). Somebody, pls give this patient some iv hydrocortisone (fire extinguisher)and dowse that fire....it must be hurting like hell >?>?..
I think Sudarshan has made a very valid differential. early stage of Crohn's will be indistinguishable from Ulcerative Colitis and with just this picture shown without any other background info...he is equally correct. But if u see this on ur exam always pick UC. And if u see the image blo - pick Crohn's the above image (Y) + family hX of early colon cancer....think familial adenomatous.....and don't send him home without a total proctocolectomy ! wink)
