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KMID : 0338420130280050614
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The Korean Journal of Internal Medicine
2013 Volume.28 No. 5 p.614 ~ p.618
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A rare cause of dysphagia: compression of the esophagus by an anterior cervical osteophyte due to ankylosing spondylitis
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Albayrak ?lknur
Ba?cacı Sinan
Sallı Ali
Kucuksen Sami
U?urlu Hatice
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Abstract
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Ankylosing spondylitis (AS) is a chronic inflammatory rheumatological disease affecting the axial skeleton with various extra-articular complications. Dysphagia due to a giant anterior osteophyte of the cervical spine in AS is extremely rare. We present a 48-year-old male with AS suffering from progressive dysphagia to soft foods and liquids. Esophagography showed an anterior osteophyte at C5-C6 resulting in esophageal compression. The patient refused surgical resection of the osteophyte and received conservative therapy. However, after 6 months there was no improvement in dysphagia. This case illustrates that a large cervical osteophyte may be the cause of dysphagia in patients with AS and should be included in the diagnostic workup in early stages of the disease.
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KEYWORD
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Spondylitis, ankylosing, Deglutition disorders, Osteophyte, Cervical spine, Esophageal compression
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