p5 - guest1

[ArchivalUser]

A 54-year-old woman with chronic microcytic hypochromic anemia also has a sore, smooth, red tongue and a
sense of dysphagia midway during swallowing. This patient is at increased risk for developing which of the
following conditions?


A. Adenocarcinoma of the esophagus

B. Barrett's esophagus

C. Candida esophagitis

D. CMV esophagitis

E. Squamous cell carcinoma of esophagus

[ArchivalUser]

ee

[ArchivalUser]

E. Squamous cell carcinoma of esophagus

[ArchivalUser]

PLUMMER -VINSON -E?

[ArchivalUser]

Explanation:

The correct answer is E. The patient has Plummer-Vinson syndrome, characterized by atrophic glossitis,
esophageal webs, and iron-deficiency anemia. Patients with this syndrome are at increased risk of developing
squamous cell carcinoma of the esophagus.

Barrett's esophagus (choice B) and adenocarcinoma of the esophagus (choice A) are associated with reflux
esophagitis.

Candida(choice C) and CMV (choice D) esophagitis can be seen in immunosuppressed patients, including AIDS
patients.