Wright R A, Bernie H
Am J Gastroenterol. 1982 Jan;77(1):9-11.
A 55-yr-old white female with biopsy proven scleredema adultorum was evaluated for progressive dysphagia. Esophageal motility studies revealed persistently high upper esophageal pressures without response to deglutition, and minimal peristalsis in the upper body of the esophagus. A cine-esophagram revealed massive aspiration of barium into the nasopharynx and lungs, concommitant with stenosis in the upper esophagus. The patient died presumptively from aspiration. This patient exemplifies a potentially lethal complication of scleredema adultorum i.e., upper esophageal infiltration with resultant aspiration.
一名55岁经活检证实患有成人硬肿病的白人女性因进行性吞咽困难接受评估。食管动力研究显示食管上段压力持续升高，吞咽时无反应，食管上段蠕动微弱。食管造影显示大量钡剂吸入鼻咽部和肺部，同时食管上段狭窄。患者推测死于误吸。该患者例证了成人硬肿病一种潜在的致命并发症，即食管上段浸润并导致误吸。
