Acute reversible dysphagia and dysphonia as initial manifestations of sarcoidosis
Castroagudin, J.F.; Gonzalez-Quintela, A.; Moldes, J.; Forteza, J.; Barrio, E.
Hepato-Gastroenterology 46(28): 2414-2418
1999
ISSN/ISBN: 0172-6390 PMID: 10522008 Document Number: 499125
A 60 year-old white woman presented with sudden painless dysphagia, hoarseness and dysphonia. A diagnosis of sarcoidosis was made based on bilateral hilar lymphadenopathy, gallium uptake, elevated serum angiotensin-converting enzyme levels, as well as non-caseating granulomatous lymphadenitis in a prescalenic node. Symptoms were attributed to isolated vagus neuropathy, a rare form of presentation of neurosarcoidosis.