ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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A Case Of Scleredema With Persistent Dysphagia
Dr. A. Tülin MANSUR, aDr. Ümmühan KAYA, aDr. Ali Tüzün İNCE, bDr. Zuhal ERÇİNa
aDeri Hastalıkları Kliniği, bGastroenteroloji Kliniği, SB Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, İSTANBUL
Scleredema is a mucinosis of unclear etiology, characterized by thickening and induration of the skin. While it occurs as a postinfectious event in children and adolescents, it is mostly associated with diabetes mellitus during adulthood. The disease is mainly limited to the skin; however, rarely it involves the muscles of the tongue, pharynx and eosephagus with infiltration of mucin, leading to dysphagia. In the case of coexistence of dysphagia and skin induration, sclerosing skin diseases with dysphagia, including systemic sclerosis and scleromyxedema should be considered in the differential diagnosis.
Here, we present a case of scleredema with poorly controlled diabetes mellitus who was investigated thoroughly for elucidating the cause of severe dysphagia. As there was no detectable cause of dysphagia, this symptom was considered to be related with scleredema. In conclusion, we delineate that scleredema should also be considered in the differential diagnosis of diseases associated with dysphagia.Keywords: Deglutition disorders, scleroderma, systemicTurkiye Klinikleri J Med Sci 2006, 26:93-97
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