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The Korean Journal of Internal Medicine ; : 614-618, 2013.
Artículo en Inglés | WPRIM | ID: wpr-175085

RESUMEN

Ankylosing spondylitis (AS) is a chronic inflammatory rheumatological disease affecting the axial skeleton with various extra-articular complications. Dysphagia due to a giant anterior osteophyte of the cervical spine in AS is extremely rare. We present a 48-year-old male with AS suffering from progressive dysphagia to soft foods and liquids. Esophagography showed an anterior osteophyte at C5-C6 resulting in esophageal compression. The patient refused surgical resection of the osteophyte and received conservative therapy. However, after 6 months there was no improvement in dysphagia. This case illustrates that a large cervical osteophyte may be the cause of dysphagia in patients with AS and should be included in the diagnostic workup in early stages of the disease.


Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Vértebras Cervicales/patología , Deglución , Trastornos de Deglución/diagnóstico , Estenosis Esofágica/diagnóstico , Imagen por Resonancia Magnética , Osteofito/diagnóstico , Espondilitis Anquilosante/complicaciones , Tomografía Computarizada por Rayos X , Resultado del Tratamiento
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