Acute reversible dysphagia and dysphonia as initial manifestations of sarcoidosis.
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.
Castroagudin
J F
JF
Department of Gastroenterology, Complejo Hospitalario Universitario, Santiago de Compostela, Spain.
Gonzalez-Quintela
A
A
Moldes
J
J
Forteza
J
J
Barrio
E
E
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*