Pharyngeal dysphagia and polymyositis
Chemtob, A.; Malka, D.; Lévy, P.; Lévy, H.; Ponsot, P.; Bernades, P.
Gastroenterologie Clinique et Biologique 17(6-7): 502-504
1993
ISSN/ISBN: 0399-8320 PMID: 8243939 Document Number: 422228
We report the case of a 70 year-old woman admitted for pharyngeal dysphagia. The diagnosis of polymyositis was made on manometry and histopathological neuromuscular biopsy findings. There were no inflammatory syndrome, muscular enzyme increase or electromyographic abnormalities. The patient was initially treated by prednisone (1 mg/kg/d) with success, but relapsed 12 weeks later and then was put on azathioprine (2 mg/kg/d). Pharyngeal dysphagia can be the only clinical manifestation of polymyositis, usually a systemic disease.