Branski D, Levy J, Globus M, Aviad I, Keren A, Chowers I
J Clin Gastroenterol. 1984 Oct;6(5):437-40. doi: 10.1097/00004836-198410000-00009.
A 69-year old woman suffered from severe dysphagia, abdominal pain, and weight loss. The dysphagia was accompanied by nasal speech, nasal regurgitation of food, weakness, and wasting of the proximal muscles of the upper and lower girdles. Laboratory data revealed T3 sephadex uptake 65.2%; T4 15.1 mcg%; and T3 250 ng%. Treatment with antithyroid medication reversed the manifestation of all the symptoms, including dysphagia. Cine-studies revealed esophageal motor dysfunction as the cause of the dysphagia. Hyperthyroidism is a rare, but treatable cause of unexplained dysphagia.
一名69岁女性患有严重吞咽困难、腹痛和体重减轻。吞咽困难伴有鼻音、食物鼻反流、虚弱以及上下肢带近端肌肉萎缩。实验室检查数据显示T3葡聚糖摄取率为65.2%；T4为15.1微克%；T3为250纳克%。抗甲状腺药物治疗使所有症状包括吞咽困难的表现得到缓解。动态造影研究显示食管运动功能障碍是吞咽困难的原因。甲状腺功能亢进是不明原因吞咽困难的一种罕见但可治疗的病因。
