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Case Report

BTDMJB. 2006; 2(3): 109-112


Plummer-vinson syndrome

Mesut Başak, Tuncer Poyraz, Aydın Çiltaş, Özgür Açıkgöz, Nesrin Osman, Mehmet Kutlu, İsa Sevindir, Sibel Koçak Yücel, Özlem Harmankaya.

Abstract
The Plummer Vinson or Paterson-Brown-Kelly syndrome consist of an upper esophageal web, dysphagia, cheilosis, glossitis and iron
deficiency anemia, usually in middle aged woman. The cause is uncertain but may be congenital or secondary to gastroesophageal reşux
disease (GERD). These may occur in the proximal and distal (Schatzki’s ring) esophagus.
47 years age female patient who admitted to outpatient clinics with complaints of dysphagia, fatique, nausea, vomiting and wasting.
Contrast esophagus graphy revealed a proximal esophagus stenosis. Gastroduodenoscopy could not pass distal to stenosis. The biopsy
specimen obtained from the site of stenosis revealed mild, non-specific esophagitis. Computed tomography and magnetic resonance
imaging of the servical and thoracic region revealed wall thickening of the esophagus proximal to stenosis and diffuse focal thickening of
the anterior cervical esophagus wall neighbouring cricopharyngeus muscle seen respectively. After blood transfusion and supplemental
iron therapy, patient started to swallow şuids and solid foods. At the end of 30 days of treatment dysphagia resolved completely. During
long term of follow-up, patient was free of complaints.

Key words: Plummer-Vinson syndrome, esophageal web, dysphagia, iron deficiency anemia.



Article Language: Turkish English


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