An under-recognised endoscopic findings in a patient evaluated for chronic laryngopharyngeal reflux symptoms.
- Author:
Rafidah IDRIS
;
Vui Heng CHONG
- Publication Type:Journal Article
- From:Brunei International Medical Journal
2010;6(2):98-98
- CountryBrunei Darussalam
- Language:English
-
Abstract:
A 38-year-old female with background history of renal calculi and asthma was referred to the ENT
department with more than a year history of chronic dry, irritative cough, regurgitation and
globus sensation. On examination, the posterior pharyngeal wall was granular and the gag reflex
was increased. Indirect laryngoscopy showed congested arytenoids and post-cricoid swelling consistent
with laryngopharyngeal reflux (LPR). She was started on omeprazole (20 mg daily) and
was advised on lifestyle modification. Despite these measures, her symptoms persisted. She was
then referred for upper gastrointestinal endoscopy and abnormalities were noted in the proximal
oesophagus (Panel).
Q: What is the diagnosis?
Answer: refer to page 112