[Home ] [Archive]    
:: Main About journal Editorial Board Current Issue Archive Submit an article Site Map Contact ::
Main Menu
Home::
Journal Information::
Articles archive::
For Authors::
For Reviewers::
Registration::
Contact us::
Site Facilities::
Editorial Board::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
:: Volume 5, Issue 3 (9-2016) ::
Int J Med Invest 2016, 5(3): 126-128 Back to browse issues page
Dysphagia in an elderly patient suffering from long-lasting rheumatoid arthritis.
Manzo Ciro *
Internal and geriatric medicine department , Geriatric Rheumatologic Outpatient Clinic, hospital “Mariano Lauro”, Sant’Agnello (NA) – ASL NA 3 sud ; gnello, Naples, Italy
Abstract:   (8616 Views)
Abstract idiopathic esophageal achalasia (IEA) is a rare motor disorder whose initial manifestation is dysphagia, sometimes versus liquids. IEA can be an uncommon manifestation of some rheumatic inflammatory diseases such as Sjogren syndrome, systemic lupus erythematosus, sclerodermia, rheumatoid arthritis. IEA is considered a precancerous condition and the possibility that it represents a risk factor for development of esophageal carcinoma (EC) has been more and more descripted. These same rheumatic diseases - when long-standing and/or aggressive - can give an esophageal amyloidosis (EA) with AA amyloid deposits . EA is very rarely descripted as unique manifestation of systemic amyloidosis during these diseases. IEA has a typical manometric pattern whereas in EA the anarchic arrangement of amyloid can produce unforeseen and uncharacteristc motility patterns different from the idiopathic one. Both IEA and EA are very rare conditions. For IEA, it has been extimated an annual incidence of 2/100,000 and a prevalence rate of 10/100,000 with a peak incidence between 30 and 60 years of age. The prevalence and incidence of EA are uncertain. The surgical experiences in esophageal pseudoachalasia are aneddhotic. We describe the clinical case of an elderly woman suffering from long-lasting rheumatoid arthritis in which an EA overlapped an IEA, causing the sharp worsening of dysphagia and poor prognosis despite surgical approaches. According to our knowledge, this overlap has been never descripted.
Keywords: esophageal achalasia, dysphagia, rheumatoid arthritis, amyloidotic psuedoachalasia, elderly patient
Full-Text [PDF 248 kb]   (2335 Downloads)    
Type of Study: case report | Subject: General
References
1. 1) Booy JD, Takata J, Tomlinson G, Urbach DR : The prevalence of autoimmune disease in patients with esophageal achalasia. Dis Esophagus 2012; 25: 209-213 ; 2) Estrada CA, Lewandowsky C, Schubert TT, Dorman PJ.: Esophageal involvement in secundary amyloidosis mimicking achalasia. J Clin Gastroenterol 1990;12:447-50 ; 3) Cosme A, Horcajada JP, Ojeda E, Gonzales F, Torrado J, Arenas JI : Esophageal amyloidosis secondary to rheumatoid arthritis simulating achalasia. Med Clin (Barc) 1994 ; 102(17) ; 661-663 ; 4) Patel DA, Kim HP, Zifodya JS, Vaezi MF : Idiopathic (primary) achalasia : a review. Orphanet Journal of rare disease 2015 , 10:89. DOI 10.1186/s13023-015-03202-1 ; 5) Goldblum JR, Rice TW, Richter JE : Histopthologic features in esophagomyotomy specimens from patients with achalasia . Gastroenterology 1996; 111:648-654 ; 6) Sandler RS, Nyren O, Ekbom A, Eisen GM, Yuen J, Josefsson S : The risk of esophageal cancer in patients with achalasia. A population-based study. JAMA 1995 ; 274 : 1359-1362 ; 7) Tucker HJ, Snape jr WJ, Cohen S : Achalasia secondary to carcinoma : manometric and clinical fearures. Ann Intern Med 1978; 89: 315-318 ; 8) Lopez-Cepero Andrada JM, Jimenez Arjona J, Amaya Vidal A, Rubio Garrido J, Navas Relinque C, Soria de la Cruz MJ, Benitez Roldan A : Pseudoachalasia and secondary amyloidosis in a patient with rheumatoid arthritis. Gastroenterol Hepatol 2002; 25(5): 398-400 .
Add your comments about this article
Your username or Email:

CAPTCHA


XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ciro M. Dysphagia in an elderly patient suffering from long-lasting rheumatoid arthritis. . Int J Med Invest 2016; 5 (3) :126-128
URL: http://intjmi.com/article-1-248-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 5, Issue 3 (9-2016) Back to browse issues page
International Journal of Medical Investigation
Persian site map - English site map - Created in 0.04 seconds with 37 queries by YEKTAWEB 4645