TY - JOUR AU - Ghoshal, Uday C. AB - Indian Journal of Gastroenterology https://doi.org/10.1007/s12664-022-01319-3 IM AGE 1 1 2 1 3 1 Akash Mathur  · Srikanth Kothalkar  · Faheema Hasan  · Anshuman Elhence  · Manoj Jain  · Uday C. Ghoshal © Indian Society of Gastroenterology 2022 A 38-year-old male presented with history of dysphagia, elements; blasts were positive for cytochemical staining regurgitation, and 5-kg weight loss for 10  months. He with myeloperoxidase (MPO) stain suggestive of acute also had a history of intermittent low-grade fever every myeloid leukemia (AML) with monocytic differentiation. 3–4 months associated with fatigue and generalized weak- Bone marrow biopsy confirmed these findings. Esophageal ness for the same duration. One month before admission, biopsies revealed stratified squamous epithelium displaying he had a history of having right upper limb cellulitis that mild mixed inflammatory cells comprising polymorphs and responded to antibiotics. Examination revealed severe pallor. lymphocytes; occasional atypical hematopoietic cells were An esophagoduodenoscopy revealed a dilated esophagus and noted in the subepithelial region displaying medium-sized resistance at the gastroesophageal junction (Fig. 1A, D). A cells with round to oval nuclei, a high nuclear-cytoplasmic timed barium esophagogram showed a hold-up of contrast ratio, fine chromatin, occasional conspicuous nuclei, and a with distal tapering (Fig. 1B). The diagnosis of type I acha- scant amount of cytoplasm (Fig. 2A–D). With a TI - Acute myeloid leukemia presenting as achalasia cardia JF - Indian Journal of Gastroenterology DO - 10.1007/s12664-022-01319-3 DA - 2024-06-01 UR - https://www.deepdyve.com/lp/springer-journals/acute-myeloid-leukemia-presenting-as-achalasia-cardia-pNvOsBPChW SP - 679 EP - 681 VL - 43 IS - 3 DP - DeepDyve ER -