{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T22:22:25Z","timestamp":1788992545196,"version":"build-2803163510"},"reference-count":5,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,6,14]]},"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>Pemphigus is a rare autoimmune disease that causes blistering of the skin and oral mucosa. In bullous pemphigoid (BP), skin involvement is predominant, whereas oesophageal involvement is rare, compared with other blistering diseases. We present, herein, the case of a 67-year-old man with a history of successfully treated BP that 2\u2009years later developed progressive dysphagia, unintentional weight loss and iron deficiency anaemia. An endoscopy with biopsies was performed, and its findings were consistent with \u2018sloughing esophagitis\u2019 (esophagitis dissecans superficialis) associated with BP. Oesophageal involvement was present during the first weeks, making our case unusual due to the isolated oesophageal symptoms that developed 24 months later.<\/jats:p>","DOI":"10.1136\/bcr-2020-235135","type":"journal-article","created":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T02:12:43Z","timestamp":1594260763000},"page":"e235135","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Late-onset \u2018sloughing esophagitis\u2019 (esophagitis dissecans superficialis) associated with bullous pemphigoid"],"prefix":"10.1136","volume":"13","author":[{"given":"Eliana Carolina","family":"Morel-Cerda","sequence":"first","affiliation":[{"name":"Laboratorio de Fisiologia Digestiva y Motilidad, Instituto de Investigaciones Medico Biologicas, Veracruz, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan Adrian","family":"Priego-Parra","sequence":"additional","affiliation":[{"name":"Laboratorio de Fisiologia Digestiva y Motilidad, Instituto de Investigaciones Medico Biologicas, Veracruz, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Grube-Pagola","sequence":"additional","affiliation":[{"name":"Laboratorio de Fisiologia Digestiva y Motilidad, Instituto de Investigaciones Medico Biologicas, Veracruz, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Maria","family":"Remes-Troche","sequence":"additional","affiliation":[{"name":"Laboratorio de Fisiologia Digestiva y Motilidad, Instituto de Investigaciones Medico Biologicas, Veracruz, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,7,8]]},"reference":[{"key":"2025082703270768000_13.7.e235135.1","doi-asserted-by":"crossref","first-page":"1685","DOI":"10.1111\/jdv.15679","article-title":"Review of autoimmune blistering diseases: the pemphigoid diseases","volume":"33","author":"Daniel","year":"2019","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"2025082703270768000_13.7.e235135.2","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1111\/nyas.13112","article-title":"Sloughing esophagitis: a spectacular histologic and endoscopic disease without a uniform clinical correlation","volume":"1380","author":"Moawad","year":"2016","journal-title":"Ann N Y Acad Sci"},{"key":"2025082703270768000_13.7.e235135.3","doi-asserted-by":"crossref","first-page":"2049","DOI":"10.1007\/s10620-015-3590-3","article-title":"Esophagitis dissecans superficialis: clinical, endoscopic, and histologic features","volume":"60","author":"Hart","year":"2015","journal-title":"Dig Dis Sci"},{"key":"2025082703270768000_13.7.e235135.4","doi-asserted-by":"publisher","DOI":"10.4253\/wjge.v2.i7.252"},{"key":"2025082703270768000_13.7.e235135.5","first-page":"572","article-title":"La disfagia de corta evoluci\u00f3n y su asociaci\u00f3n con la esofagitis disecante y enfermedades concurrentes. Un reto diagn\u00f3stico","volume":"87","author":"Teramoto-Matsubara","year":"2019","journal-title":"Cir Cir"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-235135","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:27:12Z","timestamp":1756290432000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-235135"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":5,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2020,7,8]]},"published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1136\/bcr-2020-235135"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-235135","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7]]}}}