OBJECTIVE. The purpose of this study was to describe the radiographic featu
res of the "foamy" esophagus, a new sign of Candida esophagitis seen on dou
ble-contrast esophagography, in six patients.
CONCLUSION. The foamy esophagus was characterized by innumerable tiny (1-3
mm), round lucencies (bubbles) that intermingled with the barium suspension
along the top of the barium column, producing a layer of foam, Candida eso
phagitis should be strongly suspected when a foamy esophagus is detected on
double-contrast esophagography, particularly in patients with underlying e
sophageal involvement by scleroderma.