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Herpes Esophagitis

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This patient presented with history suggestive of reflux esophagitis not responding to therapy. He was diagnosed with herpes esophagitis. Note the characteristic features - margination of chromatin and intranuclear ground glass inclusions (Cowdry A bodies) in a background of ulcer. See higher magnification in the next image.

Image courtesy of: Maren Y. Fuller, MD; used with permission.

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