Multifactorial dysphagia: diffuse idiopathic skeletal hyperostosis and eosinophilic esophagitis.
Swallowing is a complex, multistage event with oral, pharyngeal, and esophageal phases. A thorough clinical examination for swallowing complaints begins to differentiate whether the problem is due to anatomic, mechanical, or neurologic etiologies. Based on the clinical suspicion, additional tests may be beneficial, including fluoroscopic and direct imaging methods, and electrophysiologic measurements. A multidisciplinary approach may also be advantageous, as in this case of dysphagia from diffuse idiopathic skeletal hyperostosis and eosinophilic esophagitis, which incorporated care from otolaryngology, speech pathology, orthopedic surgery, and gastroenterology.
Nimmons
Grace
G
Department of Otolaryngology, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1093, USA.
Van Daele
Douglas J
DJ
Hoffman
Henry T
HT
Rao
Satish S
SS
Clark
Charles R
CR
D002574:Cervical Vertebrae / Q000000981:diagnostic imaging; D003680:Deglutition Disorders / Q000209:etiology*; D004802:Eosinophilia / Q000150:complications* / Q000175:diagnosis; D004941:Esophagitis / Q000150:complications* / Q000175:diagnosis; D004945:Esophagoscopy; D050031:Hashimoto Disease / Q000150:complications; D006801:Humans; D004057:Hyperostosis, Diffuse Idiopathic Skeletal / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography