From the Department of Medicine, Shiraz University of Medical Sciences, Shiraz, I.R. Iran
Abstract: (4539 Views)
During a period of 4 years (1983-1986), we have seen 18 patients with
esophageal ulcer following the intake of doxycycline capsules at the University
Hospitals of Shiraz Medical School. During the same period only one
other patient with a drug-induced esophageal ulcer was seen and this was
found to be due to a mefenemic acid capsule.
Diagnosis was made by esophagoscopy and after two weeks, follow-up
endoscopies revealed complete healing of the ulcers. After one year, the
follow-up observations of ten patients revealed no stricture or obstruction.
We conclude that doxycycline capsule is the single most common cause of
drug-induced esophageal ulcers and although a self-limited complication, in
already ill patients, it produces significant morbidity which could be
prevented by simple measures.