对9例以霉菌性食管炎为首发表现的糖尿病分析如下。 1,临床资料:9例中男6例,女3例,年龄29～62岁,平均40.5岁。患者均以吞咽困难、胸骨后疼痛为首发症状;伴发热、乏力、食欲不振等全身症状者5例(5/9),无症状性尿路霉菌感染3例(3/9),霉菌性阴道炎1例(1/9),并发白内障1例(1/9),糖尿病视网膜病变1例(1/9)。胃镜下均见食管黏膜充血,表面附着白色、小而圆的斑点,部分融合成片呈灰白色苔膜或结节状,其中食管糜烂2例,浅表溃疡2例。9例均经刷检涂片见霉菌孢子及菌丝证实为霉菌性食管炎。同时尿液检查见霉菌孢子及菌丝3例,阴道分泌物见霉菌孢子 Nine cases of fungal esophagitis as the first manifestation of diabetes analysis is as follows. 1, clinical data: 9 cases of 6 males and 3 females, aged 29 to 62 years, an average of 40.5 years old. Patients had dysphagia and post-sternal pain as the first symptom. Five patients (5/9) with systemic symptoms of fever, fatigue, loss of appetite, three asymptomatic urinary tract infections (3/9), mycotic vaginal discharge 1 case (1/9) of inflammation, 1 case of cataract (1/9) and 1 case of diabetic retinopathy (1/9). Gastroscopy were esophageal mucosal hyperemia, the surface attached to white, small and round spots, part of the fusion into a film was gray coating film or nodular, of which 2 cases of esophageal erosion, superficial ulcers in 2 cases. 9 cases were brushing smear see mold spores and mycelium confirmed as fungal esophagitis. Urine test to see the mold spores and mycelium in 3 cases, vaginal discharge to mold spores