Pharyngoesophageal Diverticulum in a Dermatomyositis Patient with Dysphagia : A case report.
- Author:
Seung Ah LEE
1
;
Il Soo KIM
;
Tai Ryoon HAN
Author Information
1. Department of Rehabilitation Medicine, Seoul National University College of Medicine, Korea. tairyoon@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Dermatomyositis;
Pharyngoesophageal diverticulum;
Videoflouroscopic swallowing study
- MeSH:
Deglutition Disorders;
Dermatomyositis;
Diverticulum;
Female;
Humans;
Korea;
Myositis;
Neck;
Zenker Diverticulum
- From:Journal of the Korean Academy of Rehabilitation Medicine
2009;33(3):369-372
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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 pharyngoesophageal 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.
