Pettengell K E, Spitaels J M, Simjee A E
S Afr Med J. 1985 Jul 20;68(2):113-4.
A 26-year-old Indian man who presented with a long history of vomiting, upper abdominal pain and dysphagia is described. The dysphagia had been largely overlooked and investigation delayed. The diagnosis of dystrophia myotonica (DM) was apparent on clinical examination and his symptoms responded well to phenytoin therapy. The cause of his symptoms is discussed and the importance of recognizing dysphagia and other gastro-intestinal manifestations of DM is emphasized.
本文描述了一名26岁的印度男子，他有长期呕吐、上腹部疼痛和吞咽困难的病史。吞咽困难在很大程度上被忽视，检查也被延迟。临床检查时发现强直性肌营养不良（DM）的诊断很明显，他的症状对苯妥英治疗反应良好。文中讨论了他症状的病因，并强调了认识到DM的吞咽困难和其他胃肠道表现的重要性。
