Question: A 57-year-old Japanese woman underwent esophagogastroduodenoscopy for further investigation of epigastric discomfort. The patient had been taking glucocorticoids for proteinuria owing to minimal change disease. She was also diagnosed with Sjögren syndrome. Esophagogastroduodenoscopy revealed slight redness in the esophagogastric junction, most probably owing to reflux esophagitis, which was considered to be the cause of her epigastric discomfort. In addition, endoscopy coincidentally showed a pale, granular area with unclear margins in the greater curvature of the gastric body (Figure A, B).