Unusual White Esophageal Patches With Cobblestone Appearance

Abstract

Question: A 55-year-old asymptomatic man was referred for assessment of an incidental finding of hyperkeratotic patches in the distal esophagus. He underwent an esophagogastroduodenoscopy where 2 whitish patches in the distal esophagus were visualized. The larger lesion measured 3.5 cm in diameter, straddling the squamocolumnar junction distally. The lesions were thoroughly inspected on white light and virtual chromoendoscopy. Evaluation using texture and color enhancement imaging (Figure A) and narrow band imaging (Figure B) revealed white, well-demarcated, cobblestone-appearing, shiny plaques organized in a linear pattern.