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Published in: Digestive Diseases and Sciences 4/2020

01-04-2020 | Fluconazole | UNM CLINICAL CASE CONFERENCES

A Holistic Approach to Diagnosing and Treating Dysphagia

Authors: Diego Colom Steele, Chinemerem Okwara, Denis McCarthy

Published in: Digestive Diseases and Sciences | Issue 4/2020

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Abstract

We report a 39-year-old Native American female with an almost 20-year history of dysphagia that had increased in the 6 months prior to the initial evaluation. Investigation revealed a number of distinct esophageal disorders including Plummer–Vinson syndrome, gastroesophageal reflux disease with esophagitis, distal esophageal stricture, esophageal intramural pseudo-diverticulosis, and recurrent esophageal Candida infections. Although prolonged therapy with proton pump inhibitors, fluconazole, nystatin, and repeated esophageal balloon dilations relieved her symptoms, her prognosis remains uncertain.
Literature
1.
go back to reference Plummer HS. Diffuse dilatation of the esophagus without anatomic stenosis: a report of ninety-one cases. JAMA. 1912;LVIII:2013–2015.CrossRef Plummer HS. Diffuse dilatation of the esophagus without anatomic stenosis: a report of ninety-one cases. JAMA. 1912;LVIII:2013–2015.CrossRef
2.
go back to reference Kelly AB. Spasm at the entrance of the esophagus. J Laryngol Otol.. 1919;34:285–289.CrossRef Kelly AB. Spasm at the entrance of the esophagus. J Laryngol Otol.. 1919;34:285–289.CrossRef
3.
go back to reference Poskitt EM. Early history of iron deficiency. Br J Haematol. 2003;122:554–562.CrossRef Poskitt EM. Early history of iron deficiency. Br J Haematol. 2003;122:554–562.CrossRef
4.
5.
go back to reference Goel A, Satvinder SB, Neetu S, et al. Iron deficiency anemia and Plummer–Vinson syndrome: current insights. J Blood Med. 2017;8:175–184.CrossRef Goel A, Satvinder SB, Neetu S, et al. Iron deficiency anemia and Plummer–Vinson syndrome: current insights. J Blood Med. 2017;8:175–184.CrossRef
6.
go back to reference Herter B, Dittler HJ, Wuttge-Hannig A, et al. Intramural pseudodiverticulosis of the esophagus: a case series. Endoscopy. 1997;29:109–113.CrossRef Herter B, Dittler HJ, Wuttge-Hannig A, et al. Intramural pseudodiverticulosis of the esophagus: a case series. Endoscopy. 1997;29:109–113.CrossRef
7.
go back to reference Bechtler M, Vollmer H, Vetter S, et al. Long-term follow-up after dilation in symptomatic esophageal intramural pseudodiverticulosis: an observational study in 22 cases. Endoscopy. 2014;46:795–797.CrossRef Bechtler M, Vollmer H, Vetter S, et al. Long-term follow-up after dilation in symptomatic esophageal intramural pseudodiverticulosis: an observational study in 22 cases. Endoscopy. 2014;46:795–797.CrossRef
8.
go back to reference Halm U, Lamberts R, Knigge I, et al. Esophageal intramural pseudodiverticulosis: endoscopic diagnosis and therapy. Dis Esophagus. 2014;27:230–234.CrossRef Halm U, Lamberts R, Knigge I, et al. Esophageal intramural pseudodiverticulosis: endoscopic diagnosis and therapy. Dis Esophagus. 2014;27:230–234.CrossRef
Metadata
Title
A Holistic Approach to Diagnosing and Treating Dysphagia
Authors
Diego Colom Steele
Chinemerem Okwara
Denis McCarthy
Publication date
01-04-2020
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 4/2020
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-020-06107-7

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