Leading with dysphagia… An unusual view of a common symptom.
Andrea da SilvaMarta Gravito-SoaresCláudia AgostinhoManuela FerreiraJosé IlharcoPedro FigueiredoPublished in: Revista espanola de enfermedades digestivas (2024)
Plummer-Vinson syndrome (PVS) is characterized by the classic triad of post-cricoid dysphagia, iron-deficiency anemia and esophageal webs. PVS is commonly found in women of middle age especially in the fourth and fifth decade of life. The prevalence of PVS has decreased due to early detection of iron deficiency and repletion of iron stores. We report a case of a 81-year-old female patient who had a classic presentation of PVS, treated successfully with endoscopic procedure. To our knowledge, the current case is the fourth case of dysphagia related to Plummer-Vinson syndrome reported in an octogenarian in the literature so far. Iron supplementation can resolve dysphagia in many patients, but dilation of esophageal webs may sometimes be required. PVS should be part of the differential diagnosis of sideropenic dysphagia, especially due the risk of pharyngeal and esophageal epidermoid neoplasia.
Keyphrases
- iron deficiency
- case report
- end stage renal disease
- newly diagnosed
- healthcare
- ejection fraction
- peritoneal dialysis
- prognostic factors
- patient reported
- minimally invasive
- pregnant women
- ultrasound guided
- skeletal muscle
- insulin resistance
- pregnancy outcomes
- patient reported outcomes
- breast cancer risk
- endoscopic submucosal dissection