Pharyngoesophageal Diverticulum in a Dermatomyositis Patient with Dysphagia : A case report.

, Lee, Seung Ah; , Kim, Il Soo; , Han, Tai Ryoon

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2009;33(3):369-372.

Lee, Seung Ah , Kim, Il Soo , Han, Tai Ryoon

Department of Rehabilitation Medicine, Seoul National University College of Medicine, Korea. tairyoon@snu.ac.kr

삼킴장애를 호소하는 피부근육염 환자에서 발견된 인두식도 게실-증례 보고-

이승아, 김일수, 한태륜

서울대학교 의과대학 재활의학교실

Abstract

There have been few reports on a pharyngoesophageal diverticulum in dermatomyositis patients. This report concerns a young woman suffered from dermatomyositis, and resulting in dysphagia. Although dysphagia is a common manifestation of inflammatory myopathy, it was associated with a pharyngoesophageal (Zenker's) diverticulum in this case. The videoflouroscopic study showed a diverticulum of the pharyngoesophageal junction. Esophagography confirmed a complicated Zenker's diverticulum that was a tubular mucosal pouch with poor distensibility and mucosal irregularity on left posterolateral aspect of the pharyngoesophageal junction. After 4 months, dysphagia improved and pharyngoesophageal diverticulum disappeared on esophagography and neck computed tomography. To our knowledge, there has been no report of a pharyngoesophageal diverticulum in a dermatomyositis patient with dysphagia in Korea. We report clinical and laboratory findings of our case and review association with a pharyngoesophageal diverticulum and dermatomyositis. (J Korean Acad Rehab Med 2009; 33: 369-372)

Key Words: Dermatomyositis, Pharyngoesophageal diverticulum, Videoflouroscopic swallowing study