The Nutcracker Esophagus in a Patient with Dermatomyositis.
- Author:
Byung Hyun IN
1
;
Min Chan PARK
;
Suk Hoon CHOI
;
Yong Beom PARK
;
Soo Kon LEE
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. sookonlee@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Dermatomyositis;
Nutcracker esophagus;
Dysphagia;
Manometry
- MeSH:
Deglutition Disorders;
Dermatomyositis*;
Esophageal Motility Disorders*;
Esophagus;
Glycogen Storage Disease Type VI;
Humans;
Manometry;
Muscle, Skeletal
- From:The Journal of the Korean Rheumatism Association
2002;9(4):341-346
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In dermatomyositis, involvement of the skeletal muscles of upper esophagus has been reported in many literatures. However, a number of published reports have suggested that motility disturbances of distal esophagus may also be a cause of dysphagia in dermatomyositis and dysphagia in these cases are mainly caused by crico-pharyngeal obstruction or hypomotility of esophagus. The nutcracker esophagus is the one of common esophageal hypermotility disorders causing dysphagia which is characterized manometrically by high pressure in distal esophagus. Recently, we experienced a patient with dermatomyositis who had complained of dysphagia and was diagnosed as having nutcracker esophagus by mannometry. The association of nutcracker esophagus and dermatomyositis has not been reported in the literature. Moreover, the mechanism of nutcracker esophagus differs with that of esophageal involvement in dermatomyositis. Thereby, we report a patient with dermatomyositis who had nutcracker esophagus in the course of her disease.
