Wintzen A R, Bots G T, de Bakker H M, Hulshof J H, Padberg G W
Department of Neurology, University Hospital, Leiden, The Netherlands.
J Neurol Neurosurg Psychiatry. 1988 Dec;51(12):1542-5. doi: 10.1136/jnnp.51.12.1542.
Four elderly patients with inclusion body myositis and dysphagia are described. Dysphagia was the presenting symptom in three, preceding generalised weakness by 1.5 to 7 years. Myotomy of the cricopharyngeal muscle improved the symptoms and signs in 3 of the 4 patients. It is suggested that inclusion body myositis is not an infrequent cause of dysphagia in elderly people, and is amenable to treatment.
本文描述了4例患有包涵体肌炎并伴有吞咽困难的老年患者。吞咽困难是其中3例患者的首发症状，早于全身无力1.5至7年出现。4例患者中有3例接受环咽肌切开术后症状和体征得到改善。提示包涵体肌炎是老年人吞咽困难的常见病因之一，且可进行治疗。
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