Oropharyngeal dysphagia in dermatomyosites: case report and literature review

Revista Brasileira de Otorrinolaringologia

Santoro, Patricia Paula¹  USP¹  Garcia, Roberta Ismael Dias¹  Lemos, Elza Maria¹  Tavares, Raquel Aguiar¹  Furia, Cristina Lemos Barbosa¹ 

关键词: dermatomyosites;    dysphagia;    videoendoscopic study;    swallowing.;   

DOI  :  10.1590/S0034-72992008000600019

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

We present a rare case of dermatomyosites associated with severe oropharyngeal dysphagia. A 13 year old female patient, being followed at the Rheumatologic Department, was referred to the Otolaryngology Department of the University of São Paulo School of Medicine Hospital. She complained of swallowing problems, especially with solids. Following our dysphagia study protocol, we employed a speech pathologist and otolaryngology evaluation, mainly for clinical history, examination of anatomical structures involved with swallowing events, cranium nerves integrity and videoendoscopic swallowing study. We diagnosed severe oropharyngeal dysphagia, with aspiration of saliva and food of all consistencies. We advised against oral feeding and recommended a diet through a gastric tube. She started with therapy and xerostomia medication, together with the treatment of the base disease. The patient showed a significant improvement, noticed by the clinical evaluation and the control videoendoscopic swallowing study, with the possibility of returning to oral feeding. The authors stress the incidence of oropharyngeal dysphagia in dermatomyosites and suggest the videoendoscopic swallowing study as a good exam for diagnosis and follow-up of these patients.

【 授权许可】

Unknown