2 and 3 Patients complain of dysphagia, odynophagia and reflux symptoms or may be asymptomatic. Endoscopic find more findings, as described above, are similar

to those found in Candida esophagitis which might lead to misdiagnoses. 4 The literature suggests that in many cases EDS is a benign condition and that mucosal healing can be obtained through combination of acid suppression and discontinuation of precipitating medications. 2 When associated to bullous dermatoses, EDS treatment also includes steroids. 5 Our patient had persistent symptoms despite high doses of pantoprazole and on a repeat endoscopy she maintained the esophageal findings. She was switched to rabeprazole with a lack of benefit and, ultimately, she refused further tests and abandoned follow-up. This report aims to raise awareness to this often forgotten and misdiagnosed entity. Of note, Cyclopamine cost this was the first of the two cases diagnosed by a single operator during

a 2-year period. Only with the improvement of detection of EDS we might increase our knowledge of this peculiar condition and treat patients who do not respond to acid suppression. The authors declare that no experiments were performed on humans or animals for this study. The authors declare that no patient data appear in this article. The authors declare that no patient data appear in this article. The authors have no conflicts of interest Dipeptidyl peptidase to declare. “
“An 18-year-old man presented with epigastric pain and progressive jaundice. His past medical history was remarkable for the diagnosis of nodular sclerosing Hodgkin’s lymphoma (HL) (stage IIa – cervical and mediastinum) 10 months before, for which he underwent chemoradiation therapy. Of note, he was in remission for the last 2 months before the current symptoms. CT imaging revealed a heterogeneous

30 mm pancreatic head mass, causing dilation of both the common bile duct and pancreatic duct (Fig. 1). These findings were replicated on EUS, with no other significant findings, namely mediastinal or abdominal adenopathies. FNA was performed using a 22-gauge ProCore needle. The samples were sent to pathological examination and flow cytometry (FC). The results of the analysis were surprising as they unveiled a high-grade B-cell non-Hodgkin lymphoma (NHL) (Figure 2, Figure 3 and Figure 4). This cast doubt on the previous diagnosis of HL, which was reviewed and confirmed. The occurrence of a metachronous form of NHL in a patient with HL is exceedingly rare, especially the extranodal involvement in the absence of nodal disease.1 Moreover, in a setting of HL, echoendoscopists do not regularly send samples for FC, as this analysis has not proved useful in the detection of the Reed-Sternberg cells.