How is Candida esophagitis graded?

Updated: May 28, 2020
  • Author: Deepika Devuni, MD; Chief Editor: BS Anand, MD  more...
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Oral thrush is a frequent finding and is often an indicator of esophageal involvement. Oral thrush can be absent in 25% of cases of Candida esophagitis. Candida infection is frequently asymptomatic.

The grading scale for candidal esophagitis is as follows:

  • Grade 1 - A few raised white plaques up to 2 mm in size, no ulceration
  • Grade 2 - Multiple raised white plaques more than 2 mm in size, no ulceration
  • Grade 3 - Confluent, linear, nodular, elevated plaques with ulceration
  • Grade 4 - Grade 3 with narrowed lumen

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