Author Archives: Masaya Iwamuro, Hiroyuki Sakae, Hiroyuki Okada
White Gastric Mucosa in a Dialysis Patient
Question: An asymptomatic 66-year-old Japanese man underwent esophagogastroduodenoscopy for screening purposes. The patient had been undergoing hemodialysis for >30 years and had been diagnosed with dialysis-related amyloidosis of the tongue 8 years previously (Figure A). He had been taking lanthanum carbonate, an orally administered phosphate binder, for 5 years, in addition to taking rabeprazole, sarpogrelate, carvedilol, calcitriol, celecoxib, D-sorbitol, brotizolam, and warfarin. Esophagogastroduodenoscopy revealed slightly granular, white mucosa in the gastric body (Figure B, C). Continue reading
White Gastric Mucosa in a Dialysis Patient
Question: An asymptomatic 66-year-old Japanese man underwent esophagogastroduodenoscopy for screening purposes. The patient had been undergoing hemodialysis for >30 years and had been diagnosed with dialysis-related amyloidosis of the tongue 8 years previously (Figure A). He had been taking lanthanum carbonate, an orally administered phosphate binder, for 5 years, in addition to taking rabeprazole, sarpogrelate, carvedilol, calcitriol, celecoxib, D-sorbitol, brotizolam, and warfarin. Esophagogastroduodenoscopy revealed slightly granular, white mucosa in the gastric body (Figure B, C). Continue reading