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We report the case of a female in her late 40s with systemic lupus erythematosus and Sj\u00f6gren's syndrome, in whom an incidental hyperpigmented lesion was identified in the mid-esophagus during endoscopy performed for iron-deficiency anemia. Histopathological examination confirmed melanocytosis without evidence of dysplasia or malignancy. Although its etiology remains unclear, esophageal melanosis has been linked to chronic mucosal inflammation or injury, which may be triggered by autoimmune alterations. 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Esophageal melanocytosis. Clin Case Rep 2024; 14: e2024487.","journal-title":"Clin Case Rep"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.34172\/mejdd.2023.335"},{"key":"e_1_3_3_16_2","article-title":"Esophageal dysmotility disorder and dysphagia as initial manifestations of lupus","volume":"15","author":"Hegazy A","year":"2023","unstructured":"Hegazy A, Aleidan F, AlShammari S, et al. Esophageal dysmotility disorder and dysphagia as initial manifestations of lupus. 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