title: Fever, ulcers and joint pain: an incidental finding of oesophageal dysmotility.
abstract: A 41-year-old Bangladeshi man presented with a 2-month history of bilateral feet/hand swelling which intermittently resolved without medication. All blood tests performed by the general practitioner (GP) were unremarkable. Following admission to the accident and emergency department, a chest X-ray revealed a 'vail-like' opacification in the right side. High-resolution CT confirmed dilation of oesophagus with food debris and circumferential thickening of the lower oesophageal sphincter.
authors.affiliation: Acute Medicine Unit, Barts & The Royal London, London, UK. c.iwegbu@googlemail.com
authors.forename: Charles
authors.initials: C
authors.lastname: Anwuzia-Iwegbu
authors.forename: Asma
authors.initials: A
authors.lastname: Fikree
authors.forename: Nicola
authors.initials: N
authors.lastname: Tufton
mesh_terms: D000328:Adult; D018771:Arthralgia / Q000150:complications; D003937:Diagnosis, Differential; D004931:Esophageal Achalasia / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D015154:Esophageal Motility Disorders / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004947:Esophagus / Q000000981:diagnostic imaging; D005334:Fever / Q000209:etiology; D006801:Humans; D033162:Incidental Findings; D008297:Male; D019226:Oral Ulcer / Q000150:complications; D014057:Tomography, X-Ray Computed