Dysphagia and esophageal ulcerations in HIV patient

A 41 years-old caucasian male with AIDS-associated progressive multifocal leukoencephalopathy, suddenly developed persistent painless dysphagia for solid foods. No other symptoms were present, namely fever, abdomi- nal pain, vomiting or regurgitation. The patient had aban- doned medical care and had stopped his anti-retroviral therapy several months before admission. On physical examination, he was slender and afebrile, with normal vital signs. No lymphadenopathy was pres- ent and no oropharyngeal mucosal lesions were seen. The physical examination of the neck was unremarkable. Cardiopulmonary examination was normal and the abdo- men had no tenderness or organomegaly.