title: [Clinical reflexions on a case of primary achalasia of the esophagus diagnosed late].
abstract: We describe an unusual case of achalasia. The patient, a 33-year-old woman, presented with a clinical history of esophageal disease verified by gastroscopy. The diagnosis of hysterical anorexia that had been made some years previously did not correspond with the nosological classifications (DSM III-R, DSM IV). This case underscores the importance of the correct use of clinical methodology, particularly when conclusive diagnosis is essential for successful treatment.
authors.affiliation: Unità di Terapia Intensiva Coronarica, Clinica Stella Maris di S. Benedetto del Tronto.
authors.forename: A
authors.initials: A
authors.lastname: Caselli
authors.forename: D
authors.initials: D
authors.lastname: Pacchione
authors.forename: G
authors.initials: G
authors.lastname: Vesperini
authors.forename: V M
authors.initials: VM
authors.lastname: Laterza
mesh_terms: D000328:Adult; D000855:Anorexia / Q000175:diagnosis / Q000628:therapy; D002404:Catheterization; D003937:Diagnosis, Differential; D004931:Esophageal Achalasia / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D011859:Radiography