IDIOPATHIC ESOPHAGEAL ULCERATION FISTULIZ ATED TO THE BRONCHIAL TREE IN HIV-POSITIVE PATIENT

Idiopathic esophageal ulcerations (IEUs) associated with human immunod eficiency virus (HIV) infection are now recognized as an important cau se of esophageal disease in this population. We report one case of IEU complicated with a fistula to the bronchial tree. Given his variable appearance, wich may mimic other causes of esophageal ulceration and t he high response rate to oral corticosteroid therapy, all HIV infected patients with esophageal ulceration should undergo endoscopy with bio psy to obtain a definitive diagnosis. We review the literature about t he etiology, pathogenesis, management and treatment of the IEU.