title: Acute reversible dysphagia and dysphonia as initial manifestations of sarcoidosis.
abstract: A 60 year-old white woman presented with sudden painless dysphagia, hoarseness and dysphonia. A diagnosis of sarcoidosis was made based on bilateral hilar lymphadenopathy, gallium uptake, elevated serum angiotensin-converting enzyme levels, as well as non-caseating granulomatous lymphadenitis in a prescalenic node. Symptoms were attributed to isolated vagus neuropathy, a rare form of presentation of neurosarcoidosis.
authors.affiliation: Department of Gastroenterology, Complejo Hospitalario Universitario, Santiago de Compostela, Spain.
authors.forename: J F
authors.initials: JF
authors.lastname: Castroagudin
authors.forename: A
authors.initials: A
authors.lastname: Gonzalez-Quintela
authors.forename: J
authors.initials: J
authors.lastname: Moldes
authors.forename: J
authors.initials: J
authors.lastname: Forteza
authors.forename: E
authors.initials: E
authors.lastname: Barrio
mesh_terms: D000208:Acute Disease; D003680:Deglutition Disorders / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis*; D020421:Vagus Nerve Diseases / Q000150:complications / Q000175:diagnosis*; D014832:Voice Disorders / Q000209:etiology*