Rajeshwari Aroor, Somayaji Gangadhara, Deviprasad Shetty
Yenepoya Medical College, Mangalore, India.
Indian J Otolaryngol Head Neck Surg. 2011 Jul;63(Suppl 1):83-4. doi: 10.1007/s12070-011-0207-9. Epub 2011 Apr 11.
Dysphagia is a common clinical symptom for an ENT surgeon in his clinic, evaluation of which may not be a great challenge. The objective of this article is to report a rare cause of dysphagia which may be difficult to diagnose unless specifically thought of. This is a report of a case of dysphagia secondary to myasthenia gravis seen in a young lady along with tongue fasciculation in an early onset case unlike the ones reported in the literature where the patients are elderly and more often males in the late phase of the disease. At times, dysphagia may be seen secondary to some rare causes and may mislead the doctor. A carefully taken history and methodical clinical examination will avoid unnecessary invasive procedures and delay in the diagnosis.
吞咽困难是耳鼻喉科医生在门诊常见的临床症状，对其进行评估可能并非巨大挑战。本文的目的是报告一种罕见的吞咽困难病因，除非特别考虑到，否则可能难以诊断。这是一例年轻女性因重症肌无力继发吞咽困难的病例报告，该病例早期出现舌肌束颤，与文献报道的病例不同，文献中的患者多为老年，且在疾病晚期男性更为常见。有时，吞咽困难可能继发于一些罕见病因，可能会误导医生。仔细采集病史并进行系统的临床检查将避免不必要的侵入性检查和诊断延误。
