title: An unusual clinical manifestation of secondary Sjögren's syndrome and concomitant Paterson-Kelly syndrome.
abstract: 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.
authors.affiliation: Rheumatological Institute, Prague.
authors.forename: H
authors.initials: H
authors.lastname: Dejmkova
authors.forename: K
authors.initials: K
authors.lastname: Pavelka
mesh_terms: D001172:Arthritis, Rheumatoid / Q000150:complications; D004947:Esophagus / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007013:Hypopharynx / Q000000981:diagnostic imaging; D008875:Middle Aged; D011004:Plummer-Vinson Syndrome / Q000150:complications*; D011859:Radiography; D012859:Sjogren's Syndrome / Q000150:complications* / Q000000981:diagnostic imaging