IJOHNS  Vol.3 No.1 , January 2014
Dysphagia as a Presenting Symptom of Myasthenia Gravis—Case Report
ABSTRACT

Dysphagia is a common symptom in otolaryngology, but neuromuscular causes are rarely diagnostic hypotheses to be considered. The Myasthenia Gravis is an autoimmune disease which is characterized by muscle weakness that can affect the muscles of the face, oral cavity, pharynx or esophagus and may present with swallowing disorders. The authors present the case of a 68-year-old man who went to the emergency department of otolaryngology complaining of dysphagia. After the examination and diagnostic exams, it was diagnosed as Myasthenia Gravis. The authors conclude that the clinical suspicion should not be forgotten in order to initiate timely treatment to the effective control of the disease and complement with functional tests according to the complaints, so that it can be followed up and start rehabilitation of the patient.


Cite this paper
S. Ramalho, S. Pereira, P. Oliveira, H. Morais, N. Lima and A. Condé, "Dysphagia as a Presenting Symptom of Myasthenia Gravis—Case Report," International Journal of Otolaryngology and Head & Neck Surgery, Vol. 3 No. 1, 2014, pp. 23-25. doi: 10.4236/ijohns.2014.31005.
References
[1]   A. J. Trouth, A. Dabi, N. Solieman, M. Kurukumbi and J. Kalyanam, “Myasthenia Gravis: A Review,” Autoimmune Diseases, Vol. 2012, 2012, Article ID: 874680

[2]   R. J. Romo Gonzalez, E. Chaves and H. Copello, “Dysphagia as the Sole Manifestation of Myasthenia Gravis,” Acta Gastroenterologica Latinoamericana, Vol. 40, No. 2, 2010 pp. 156-158.

[3]   O. Bravo Dominguez, M. Foglia Fernandez, X. Gonzalez Compte, R. Jimenez Montoya, J. Girons Bonells and M. Dicenta Sousa, “ORL Manifestations of Miasthenia Gravis,” Acta Otorrinolaringológica Española, Vol. 51, No. 6, 2000, pp. 549-551.

[4]   A. Rajeshwari, G. Somayaji and S. Deviprasad, “A Rare Cause of Dysphagia: A Case Report,” Indian Journal of Otolaryngology and Head & Neck Surgery, Vol. 63, Suppl. 1, 2011, pp. 83-84.
http://dx.doi.org/10.1007/s12070-011-0207-9

[5]   M. H. Huang, K. L. King and K. Y. Chien, “Esophageal Manometric Studies in Patients with Myasthenia Gravis,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 95, 1988, pp. 281-285.

[6]   C. Ertekin, N. Yuceyar and I. Aydogdu, “Clinical and Electrophysiological Evaluation of Dysphagia in Myasthenia Gravis,” Journal of Neurology, Neurosurgery & Psychiatry, Vol. 65, No. 6, 1998, pp. 848-856.
http://dx.doi.org/10.1136/jnnp.65.6.848

[7]   M. Llabrés, F. J. Molina-Martinez and F. Miralles, “Dysphagia as the Sole Manifestation of Myasthenia Gravis,” Journal of Neurology, Neurosurgery & Psychiatry, Vol. 76, No. 9, 2005, pp. 1297-1300.
http://dx.doi.org/10.1136/jnnp.2004.038430

[8]   H.-C. Juan, I. Tou, S.-C. Lo and I.-H. Wu, “Efficacy of Postural Techniques Assessed by Videofluoroscopy for Myasthenia Gravis with Dysphagia as the Presenting Symptom: A Case Report,” Journal of Medical Case Reports, Vol. 4, 2010, p. 370.
http://dx.doi.org/10.1186/1752-1947-4-370

 
 
Top