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Dysphagia in patients with inclusion body myositis
Author(s) -
Houser Steven M.,
Calabrese Leonard H.,
Strome Marshall
Publication year - 1998
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-199807000-00009
Subject(s) - inclusion body myositis , dysphagia , inclusion (mineral) , myositis , medicine , physical medicine and rehabilitation , physical therapy , anatomy , psychology , surgery , social psychology
Objectives : Inclusion body myositis (IBM) is an inflammatory myopathy with a 40% reported incidence of dysphagia. A protracted course, refractory to medical therapy, frequently leads to consultation with an otolaryngologist for dysphagia management. We studied the incidence, symptoms, and mechanisms of dysphagia in patients with IBM. Study Design : Retrospective study of medical records and self‐reported follow‐up survey; dysphagia is defined as difficulty in swallowing. Materials : Twenty‐two patients with biopsy‐proven IBM. Results : The rate of dysphagia was more than 80% (16 of 19), twice as high as previously reported. Progressive dysphagia was associated with a significantly worse functional class. Relevant management guidelines are established, including the timing for appropriate surgical intervention. Conclusion : Progressive dysphagia may signify more aggressive IBM or an episodic worsening in status. Recognition of the disease manifestations will afford proper patient management. Informed otolaryngologists can have a favorable impact on the dysphagia associated with IBM.