Postgrad Med J

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER


[Advanced]
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this link to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Add article to my folders
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Gaya, D R
Right arrow Articles by Mactier, R
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Gaya, D R
Right arrow Articles by Mactier, R
Postgraduate Medical Journal 2002;78:102-103
© 2002 The Fellowship of Postgraduate Medicine

SELF ASSESSMENT QUESTION

Dysphagia

A woman with dysphagia and Raynaud's phenomenon

D R Gaya , R Mactier

Department of Medicine, Glasgow Royal Infirmary, Castle Street, Glasgow G4 0SF, UK

Correspondence to:
Correspondence to:
Dr Gaya;
danielgaya@aol.com

All photographs reproduced with patient's permission. 2002;

Submitted 13 July 2001
Accepted 21 August 2001

Answers on p 109.

Keywords: systemic sclerosis; CRESTsyndrome; Raynaud's phenomenon

A 69 year old woman with no relevant past medical history was admitted with dysphagia. She reported difficulty swallowing both solids and liquids and that it had been gradually worsening over a 10 year period. She denied pain on swallowing and there was no history of regurgitation, heartburn, corrosive ingestion, or weight loss. There was a 25 year history of intermittent attacks of pallor, pain, and redness of the digits.


QUESTIONS

  1. Comment on the appearance of her tongue (fig 1Go), face (figs 3 and 4GoGo), and hands (fig 5Go).
  2. Comment on the appearance of her barium swallow (fig 2Go) and suggest a unifying diagnosis.
  3. Examination of her left elbow revealed a hard nodule over the extensor aspect. What does the radiograph (fig 6Go) show?


Figure Removed (Available Only in the Full Text)
View larger version (93K):
[in this window]
[in a new window]
  		Figure 1

 

Figure Removed (Available Only in the Full Text)
View larger version (69K):
[in this window]
[in a new window]
  		Figure 3

 

Figure Removed (Available Only in the Full Text)
View larger version (89K):
[in this window]
[in a new window]
  		Figure 4

 

Figure Removed (Available Only in the Full Text)
View larger version (110K):
[in this window]
[in a new window]
  		Figure 5

 

Figure Removed (Available Only in the Full Text)
View larger version (76K):
[in this window]
[in a new window]
  		Figure 2

 

Figure Removed (Available Only in the Full Text)
View larger version (76K):
[in this window]
[in a new window]
  		Figure 6

 






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER
Terms and conditions relating to subscriptions purchased online  ¦  Website terms and conditions  ¦  Privacy policy
Copyright © 2002 The Fellowship of Postgraduate Medicine