Gade Ajay K, Pacheco Lauren
Internal Medicine, Brookwood Baptist Medical Center, Birmingham, USA.
Cureus. 2019 Dec 25;11(12):e6463. doi: 10.7759/cureus.6463.
Plummer-Vinson syndrome (PVS) is characterized by a triad of symptoms comprising microcytic hypochromic anemia, esophageal webs, and dysphagia. PVS is commonly found in women of middle age especially in the fourth and fifth decade of life and is rarely reported in males. We report a case of a 39-year-old female patient who had a classic presentation of PVS. PVS is precancerous with high malignant potential; early diagnosis is of utmost importance for better prognosis and surveillance endoscopy is recommended. Iron repletion oftentimes improves the dysphagia; seldom esophageal dilatation is used to provide symptomatic relief.
普卢默-文森综合征(PVS)的特征是由小细胞低色素性贫血、食管蹼和吞咽困难组成的三联征。PVS常见于中年女性,尤其是40至50岁的女性,男性中很少有报道。我们报告一例39岁女性患者,其具有PVS的典型表现。PVS是具有高恶性潜能的癌前病变;早期诊断对于更好的预后至关重要,建议进行监测性内镜检查。补充铁剂通常可改善吞咽困难;很少使用食管扩张术来缓解症状。