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KMID : 0361420090330030369
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Journal of Korean Academy of Rehabilitation Medicine
2009 Volume.33 No. 3 p.369 ~ p.372
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Pharyngoesophageal Diverticulum in a Dermatomyositis Patient with Dysphagia
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Lee Seung-Ah
Kim Il-Soo
Han Tai-Ryoon
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Abstract
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There have been few reports on a pharyngoesophageal diverticulum in dermatomyositis patients. This report concerns
a young woman suffered from dermatomyositis, and resulting in dysphagia. Although dysphagia is a common manifestation of inflammatory myopathy, it was associated with a pharyngoesophageal (Zenker’s) diverticulum in this case. The videoflouroscopic study showed a diverticulum of the pharyngoesophageal junction. Esophagography confirmed a complicated Zenker’s diverticulum that was a tubular mucosal pouch with poor distensibility and mucosal irregularity on left posterolateral aspect of the pharyngoesophageal junction. After 4 months, dysphagia improved and haryngoesophageal diverticulum disappeared on esophagography and neck computed tomography. To our knowledge, there has been no report of a pharyngoesophageal diverticulum in a dermatomyositis patient with dysphagia in Korea. We report clinical and laboratory findings of our case and review association with a pharyngoesophageal diverticulum
and dermatomyositis.
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KEYWORD
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Dermatomyositis, Pharyngoesophageal diverticulum, Videoflouroscopic swallowing study
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