Oropharyngeal dysphagia in dermatomyosites: case report and literature review
Summary: 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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2008-11-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869415301579 |
| _version_ | 1818418476116606976 |
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| author | Elza Maria Lemos Patricia Paula Santoro Raquel Aguiar Tavares Roberta Ismael Dias Garcia Cristina Lemos Barbosa Furia |
| author_facet | Elza Maria Lemos Patricia Paula Santoro Raquel Aguiar Tavares Roberta Ismael Dias Garcia Cristina Lemos Barbosa Furia |
| author_sort | Elza Maria Lemos |
| collection | DOAJ |
| description | Summary: 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. Keywords: dermatomyosites, dysphagia, videoendoscopic study, swallowing |
| first_indexed | 2024-12-14T12:23:17Z |
| format | Article |
| id | doaj.art-ed5d1d6bef5e4d2ab8685be846b121ac |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-12-14T12:23:17Z |
| publishDate | 2008-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-ed5d1d6bef5e4d2ab8685be846b121ac2022-12-21T23:01:25ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942008-11-01746938940Oropharyngeal dysphagia in dermatomyosites: case report and literature reviewElza Maria Lemos0Patricia Paula Santoro1Raquel Aguiar Tavares2Roberta Ismael Dias Garcia3Cristina Lemos Barbosa Furia4Graduate student - Otorhinolaryngology - HCFMUSP, Head of the Pediatric Dysphagia Ward - HCFMUSP (University of São Paulo Medical School; Send Correspondence to: Elza Maria Lemos - Av. Vereador José Diniz 3707 8º andar conj. 83 Campo Belo São Paulo SP 04603-004. Tel.: (0xx11) 5561-3693 - Fax: (0xx11) 5561-7006PhD in Medicine - FMUSP. Assistant Otorhinolaryngologist - Otolaryngology Ward - HCFMUSP, Head of the Dysphagia Ward - HCFMUSPGraduate Student in Otorhinolaryngology - HCFMUSP, OtorhinolaryngologistGraduate Student in Otorhinolaryngology - HCFMUSP, OtorhinolaryngologistPhD in Oncology - FMUSP, Speech and Hearing Therapist - Speech and Hearing Department - - HCFMUSPSummary: 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. Keywords: dermatomyosites, dysphagia, videoendoscopic study, swallowinghttp://www.sciencedirect.com/science/article/pii/S1808869415301579 |
| spellingShingle | Elza Maria Lemos Patricia Paula Santoro Raquel Aguiar Tavares Roberta Ismael Dias Garcia Cristina Lemos Barbosa Furia Oropharyngeal dysphagia in dermatomyosites: case report and literature review Brazilian Journal of Otorhinolaryngology |
| title | Oropharyngeal dysphagia in dermatomyosites: case report and literature review |
| title_full | Oropharyngeal dysphagia in dermatomyosites: case report and literature review |
| title_fullStr | Oropharyngeal dysphagia in dermatomyosites: case report and literature review |
| title_full_unstemmed | Oropharyngeal dysphagia in dermatomyosites: case report and literature review |
| title_short | Oropharyngeal dysphagia in dermatomyosites: case report and literature review |
| title_sort | oropharyngeal dysphagia in dermatomyosites case report and literature review |
| url | http://www.sciencedirect.com/science/article/pii/S1808869415301579 |
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