Ankylosing Spondylitis Presenting Dysphagia as a Chief Complaint : A case report
Journal of the Korean Academy of Rehabilitation Medicine
;
: 489-492, 2009.
Artigo
em Coreano
| WPRIM
| ID: wpr-724348
ABSTRACT
We report a patient with ankylosing spondylitis presenting dysphagia as a chief complaint. A 43-year-old man complained of swallowing difficulty persisted for a year. Laryngoscopy revealed bilateral arytenoid swelling. Videofluoroscopic swallowing study (VFSS) revealed penetration and aspiration of liquid, food residue in pyriform sinuses, multiple swallowing and passage disturbance of food. C-reactive protein and erythrocyte sedimentation rate were elevated. On physical examination, neck stiffness and limitation of motion of whole spine were shown. Simple radiography of spine and sacroiliac joints displayed cervical osteophyte, bamboo spine and bilateral sacroilitis. Bath ankylosing spondylitis disease activity index was 6.3 points. He was diagnosed as severe active ankylosing spondylitis. After the conservative treatment, range of motion of whole spine increased and dysphagia improved on follow-up VFSS. Dysphagia in ankylosing spondylitis may be attributed to postural changes due to limitation of cervical motion and inflammation of soft tissue.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Exame Físico
/
Postura
/
Articulação Sacroilíaca
/
Coluna Vertebral
/
Espondilite Anquilosante
/
Banhos
/
Sedimentação Sanguínea
/
Proteína C-Reativa
/
Transtornos de Deglutição
/
Seguimentos
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Academy of Rehabilitation Medicine
Ano de publicação:
2009
Tipo de documento:
Artigo
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