Improvement in Tongue Pressure Precedes Improvement in Dysphagia in Dermatomyositis
Dysphagia is known to occur in patients with dermatomyositis. However, the sudden-onset dysphagia without other symptoms can make diagnosis and treatment challenging. Two patients who did not have a severe muscle weakness complained of the sudden inability to swallow solids and liquids. The muscle b...
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| Format: | Article |
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MDPI AG
2022-09-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.mdpi.com/2039-7283/12/5/83 |
| _version_ | 1797474106400047104 |
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| author | Tomoo Mano Shigeto Soyama Kazuma Sugie |
| author_facet | Tomoo Mano Shigeto Soyama Kazuma Sugie |
| author_sort | Tomoo Mano |
| collection | DOAJ |
| description | Dysphagia is known to occur in patients with dermatomyositis. However, the sudden-onset dysphagia without other symptoms can make diagnosis and treatment challenging. Two patients who did not have a severe muscle weakness complained of the sudden inability to swallow solids and liquids. The muscle biopsy results showed the perifascicular atrophy, and the patients were diagnosed with dermatomyositis. Videofluoroscopy revealed an inadequate pharyngeal contraction and a decreased upper esophageal sphincter opening with silent aspiration. Both patients showed low tongue pressures. Patient 1 received intravenous and oral methylprednisolone, and patient 2 received intravenous immunoglobulin in addition to intravenous and oral methylprednisolone. Several months after the onset of the dysphagia, the swallowing function of both patients improved. The improvement in tongue pressure preceded an improvement in the subjective and objective measurements of dysphagia. In conclusion, tongue pressure may be useful for predicting early improvement in swallowing function. |
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| format | Article |
| id | doaj.art-99dbc2e16a20424288ba2e848db8c340 |
| institution | Directory Open Access Journal |
| issn | 2039-7283 |
| language | English |
| last_indexed | 2024-03-09T20:26:20Z |
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| series | Clinics and Practice |
| spelling | doaj.art-99dbc2e16a20424288ba2e848db8c3402023-11-23T23:35:04ZengMDPI AGClinics and Practice2039-72832022-09-0112579780210.3390/clinpract12050083Improvement in Tongue Pressure Precedes Improvement in Dysphagia in DermatomyositisTomoo Mano0Shigeto Soyama1Kazuma Sugie2Department of Rehabilitation Medicine, Nara Medical University, 840 Shijo-Cho, Kashihara 634-8521, Nara, JapanDepartment of Rehabilitation Medicine, Nara Medical University, 840 Shijo-Cho, Kashihara 634-8521, Nara, JapanDepartment of Neurology, Nara Medical University, 840 Shijo-Cho, Kashihara 634-8521, Nara, JapanDysphagia is known to occur in patients with dermatomyositis. However, the sudden-onset dysphagia without other symptoms can make diagnosis and treatment challenging. Two patients who did not have a severe muscle weakness complained of the sudden inability to swallow solids and liquids. The muscle biopsy results showed the perifascicular atrophy, and the patients were diagnosed with dermatomyositis. Videofluoroscopy revealed an inadequate pharyngeal contraction and a decreased upper esophageal sphincter opening with silent aspiration. Both patients showed low tongue pressures. Patient 1 received intravenous and oral methylprednisolone, and patient 2 received intravenous immunoglobulin in addition to intravenous and oral methylprednisolone. Several months after the onset of the dysphagia, the swallowing function of both patients improved. The improvement in tongue pressure preceded an improvement in the subjective and objective measurements of dysphagia. In conclusion, tongue pressure may be useful for predicting early improvement in swallowing function.https://www.mdpi.com/2039-7283/12/5/83dermatomyositisdysphagiasubjective evaluationtongue pressurevideofluoroscopy |
| spellingShingle | Tomoo Mano Shigeto Soyama Kazuma Sugie Improvement in Tongue Pressure Precedes Improvement in Dysphagia in Dermatomyositis Clinics and Practice dermatomyositis dysphagia subjective evaluation tongue pressure videofluoroscopy |
| title | Improvement in Tongue Pressure Precedes Improvement in Dysphagia in Dermatomyositis |
| title_full | Improvement in Tongue Pressure Precedes Improvement in Dysphagia in Dermatomyositis |
| title_fullStr | Improvement in Tongue Pressure Precedes Improvement in Dysphagia in Dermatomyositis |
| title_full_unstemmed | Improvement in Tongue Pressure Precedes Improvement in Dysphagia in Dermatomyositis |
| title_short | Improvement in Tongue Pressure Precedes Improvement in Dysphagia in Dermatomyositis |
| title_sort | improvement in tongue pressure precedes improvement in dysphagia in dermatomyositis |
| topic | dermatomyositis dysphagia subjective evaluation tongue pressure videofluoroscopy |
| url | https://www.mdpi.com/2039-7283/12/5/83 |
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