[Dysphagia as the only manifestation of inclusion body myositis].
We report a 72-year-old woman with dysphagia as the only manifestation of inclusion body myositis (IBM). Although electrophysiological examination revealed subclinical abnormalities in limb muscles, dysphagia was the only symptom 4 years after the onset of the disease. Muscle biopsy showed rimmed vacuoles and cytoplasmic inclusions together with lymphocytic inflammation. IBM must be included in the differential diagnosis of isolated dysphagia.
Servicio de Neurología, Hospital de Bellvitge-Prínceps d'Espanya, Universidad de Barcelona.
M
M
Olivé
P
P
Villanueva
I
I
Ferrer
J
J
Montero
J A
JA
Martínez-Matos
D000368:Aged; D001706:Biopsy; D003680:Deglutition Disorders / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004558:Electric Stimulation; D005154:Facial Nerve; D005260:Female; D006801:Humans; D002479:Inclusion Bodies; D008475:Median Nerve; D009132:Muscles / Q000737:chemistry; D009220:Myositis / Q000150:complications* / Q000175:diagnosis; D014617:Vacuoles / Q000648:ultrastructure
Disfagia como única manifestación de una miositis por cuerpos de inclusión.