Dejmkova H, Pavelka K
Rheumatological Institute, Prague.
Clin Rheumatol. 1994 Jun;13(2):305-8. doi: 10.1007/BF02249032.
We describe the case of a female patient who presented with rheumatoid arthritis accompanied by severe dysphagia that led to prostration. The clinical picture and a barium contrast swallowing study suggested neoplastic proliferation at the borderline between the hypopharynx and the oesophagus. A comprehensive examination, however, did not confirm neoplasm. Dysphagia was caused rather by mucoso-fibrotic changes at the borderline between the hypopharynx and the oesophagus, representing the simultaneous presence of the Paterson-Kelly syndrome and secondary Sjögren's syndrome.
我们描述了一位女性患者的病例，该患者患有类风湿性关节炎，并伴有严重吞咽困难，导致身体极度虚弱。临床表现和钡剂吞咽造影研究提示下咽与食管交界处有肿瘤性增殖。然而，全面检查并未证实存在肿瘤。吞咽困难实际上是由下咽与食管交界处的黏膜纤维化改变引起的，这代表了帕特森-凯利综合征和继发性干燥综合征同时存在。
