Year 2025 / Volume 117 / Number 7
Letter
Leading with dysphagia: an unusual view of a common symptom

417-418

DOI: 10.17235/reed.2024.10495/2024

Andrea da Silva, Marta Gravito-Soares, Cláudia Agostinho, Manuela Ferreira, José Ilharco, Pedro Figueiredo,

Abstract
Plummer-Vinson syndrome (PVS) is characterized by the classic triad of post-cricoid dysphagia, iron-deficiency anemia and esophageal webs. PVS is commonly found in women of middle age especially in the fourth and fifth decade of life. The prevalence of PVS has decreased due to early detection of iron deficiency and repletion of iron stores. We report a case of a 81-year-old female patient who had a classic presentation of PVS, treated successfully with endoscopic procedure. To our knowledge, the current case is the fourth case of dysphagia related to Plummer-Vinson syndrome reported in an octogenarian in the literature so far. Iron supplementation can resolve dysphagia in many patients, but dilation of esophageal webs may sometimes be required. PVS should be part of the differential diagnosis of sideropenic dysphagia, especially due the risk of pharyngeal and esophageal epidermoid neoplasia.
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References
1- Novacek G. Plummer-Vinson syndrome. Orphanet J Rare Dis. 2006;1:36.
2- Chhabra P, Khurana H. Image Diagnosis: Plummer-Vinson Syndrome: An Unusual Cause of Dysphagia. Perm J. 2018;22:18-035. doi: 10.7812/TPP/18-035
3- Phatak S, Redkar N, Patil MA, Kuwar A. Plummer-Vinson syndrome. BMJ Case Rep. 2012; 2012:bcr2012006403.
4- Harmouch F, Liaquat H, Chaput KJ, Geme B. Plummer-Vinson syndrome: a rare cause of dysphagia in an octogenarian. Am J Case Rep. 2021;22(1):18–21.
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da Silva A, Gravito-Soares M, Agostinho C, Ferreira M, Ilharco J, Figueiredo P, et all. Leading with dysphagia: an unusual view of a common symptom. 10495/2024


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Publication history

Received: 19/04/2024

Accepted: 04/05/2024

Online First: 20/05/2024

Published: 08/07/2025

Article Online First time: 31 days

Article editing time: 445 days


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