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吞咽困难的一个罕见病因:颈长肌钙化性肌腱炎。

A Rare Cause of Dysphagia to Remember: Calcific Tendinitis of the Longus Colli Muscle.

作者信息

Colella Dominic M, Calderón Sandoval Fiorela, Powers David W, Patel Nimal, Sobrado Javier

机构信息

Department of Gastroenterology, Larkin Hospital, Nova Southeastern University, South Miami, FL, USA.

出版信息

Case Rep Gastroenterol. 2016 Dec 13;10(3):755-759. doi: 10.1159/000452199. eCollection 2016 Sep-Dec.

Abstract

Longus colli tendinitis (LCT) is an acute inflammatory condition with symptoms typically consisting of acute neck pain and stiffness with or without dysphagia. Once more severe etiologies for these symptoms are ruled out, this self-limiting condition usually resolves spontaneously with nonsteroidal anti-inflammatory drugs and corticosteroids. We present a case of LCT that presented as acute neck pain, dysphagia, and odynophagia that rapidly resolved once diagnosed and treated with anti-inflammatory agents. Though exceedingly rare, LCT must be considered in the differential diagnosis of acute neck pain, dysphagia, and odynophagia when more common etiologies do not correlate with the clinical presentation.

摘要

颈长肌肌腱炎(LCT)是一种急性炎症性疾病,其症状通常包括急性颈部疼痛和僵硬,伴有或不伴有吞咽困难。一旦排除这些症状的更严重病因,这种自限性疾病通常使用非甾体抗炎药和皮质类固醇可自发缓解。我们报告一例LCT病例,表现为急性颈部疼痛、吞咽困难和吞咽痛,经诊断并用抗炎药治疗后迅速缓解。尽管极为罕见,但当更常见的病因与临床表现不相关时,在急性颈部疼痛、吞咽困难和吞咽痛的鉴别诊断中必须考虑LCT。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/516d/5216232/8d6695619fe3/crg-0010-0755-g01.jpg

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