| Dysphagia in Inflammatory Myopathy. |
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Ryu, Ju Seok , Choi, Kyoung Hyo , Lee, Chang Keun , Yoo, Bin , Bang, Heui Je |
1Department of Physical Medicine & Rehabilitation, Asan Medical Center, University of Ulsan College of Medicine, Korea. khchoi@amc.seoul.kr
2Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Korea.
3Department of Physical Medicine & Rehabilitation, University of Chungbuk College of Medicine, Korea. |
| 염증성 근육병증 환자에서의 연하장애 |
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류주석, 최경효, 이창근1, 유빈1, 방희제2 |
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울산대학교 의과대학 서울아산병원 재활의학과, 1내과, 2충북대학교 의과대학 재활의학과 |
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| Abstract |
Objective
To determine the prevalence and phases of dysphagia in inflammatory myositis.
Method
We surveyed 106 patients diagnosed with inflammatory myositis by rheumatologist. After applying exclusion criteria, 64 patients were studied. We performed chart review and questionnaire survey for current feeding status, underlying diseases, the prevalence and phases of dysphagia. Questionnaire was composed of 11 different questions, 7 for the evaluation of oral phase and 4 for pharyngeal phase.
Results
There were 25 males and 39 females, and the average age was 45.1⁑15.9 years. The average age when diagnosed was 41.4⁑14.8 years. The proportion of dysphagia at onset was 50%; 34.4% in oral phase and 43.8%in pharyngeal phase. There was no significant difference between dermatomyositis and polymyositis regarding the proportion. The most common cause of dysphagia in oral phase was dry mouth (28.1%), and the second common causes were opening of mouth (12.5%), chewing (12.5%), and residual material in mouth (12.5%). The most common cause in pharyngeal phase was pharyngeal muscle weakness (35.9%), and the second common cause was choking sign indicating aspiration (29.7%).
Conclusion
With the high proportion of dysphagia in inflammatory myositis, we should pay more attention to dysphagia, because we need to do swallowing training in these patients. (J Korean Acad Rehab Med 2004; 28: 331-336) |
| Key Words:
Deglutition disorders, Myositis, Prevalence, Epidemiology |
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