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Oral Burning With Dysphagia and Weight Loss
Fibromyalgia is a disorder characterized by an abnormal pain regulation. Widespread pain, fatigue, and sleep disturbance are the prevalent symptoms. When unusual symptoms are overbearingly predominant at clinical presentation, the diagnosis becomes challenging. We report on the case of a patient wit...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4616619/ https://www.ncbi.nlm.nih.gov/pubmed/26252275 http://dx.doi.org/10.1097/MD.0000000000001163 |
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author | Seccia, Teresa Maria Rossitto, Giacomo Calò, Lorenzo A. Rossi, Gian Paolo |
author_facet | Seccia, Teresa Maria Rossitto, Giacomo Calò, Lorenzo A. Rossi, Gian Paolo |
author_sort | Seccia, Teresa Maria |
collection | PubMed |
description | Fibromyalgia is a disorder characterized by an abnormal pain regulation. Widespread pain, fatigue, and sleep disturbance are the prevalent symptoms. When unusual symptoms are overbearingly predominant at clinical presentation, the diagnosis becomes challenging. We report on the case of a patient with fibromyalgia, who presented with dysphagia, odynophagia, and glossodynia as prevalent symptoms. Difficulty in swallowing gradually developed over a month prior hospitalization, and worsened progressively so that nourishment and fluid intake were impeded. Because anemia with mild iron deficiency was found, esophagogastroduodenoscopy was performed, but no lesions were seen in the upper digestive tract. Levels of zinc and vitamin B12 were normal. Intense pain at pelvis and the inferior limbs, which was at a first glance referred to as osteoarthrosis, associated with oral symptoms and feeling of being in the clouds allowed us to diagnose fibromyalgia. Amitriptyline was used, with relief of symptoms. Although oropharyngeal symptoms were occasionally reported in fibromyalgia, they are often overlooked. The present case, therefore, testifies the need to consider the diagnosis of fibromyalgia when the patient presents with such symptoms that cannot be readily explained on other grounds. |
format | Online Article Text |
id | pubmed-4616619 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-46166192015-10-27 Oral Burning With Dysphagia and Weight Loss Seccia, Teresa Maria Rossitto, Giacomo Calò, Lorenzo A. Rossi, Gian Paolo Medicine (Baltimore) 5900 Fibromyalgia is a disorder characterized by an abnormal pain regulation. Widespread pain, fatigue, and sleep disturbance are the prevalent symptoms. When unusual symptoms are overbearingly predominant at clinical presentation, the diagnosis becomes challenging. We report on the case of a patient with fibromyalgia, who presented with dysphagia, odynophagia, and glossodynia as prevalent symptoms. Difficulty in swallowing gradually developed over a month prior hospitalization, and worsened progressively so that nourishment and fluid intake were impeded. Because anemia with mild iron deficiency was found, esophagogastroduodenoscopy was performed, but no lesions were seen in the upper digestive tract. Levels of zinc and vitamin B12 were normal. Intense pain at pelvis and the inferior limbs, which was at a first glance referred to as osteoarthrosis, associated with oral symptoms and feeling of being in the clouds allowed us to diagnose fibromyalgia. Amitriptyline was used, with relief of symptoms. Although oropharyngeal symptoms were occasionally reported in fibromyalgia, they are often overlooked. The present case, therefore, testifies the need to consider the diagnosis of fibromyalgia when the patient presents with such symptoms that cannot be readily explained on other grounds. Wolters Kluwer Health 2015-08-07 /pmc/articles/PMC4616619/ /pubmed/26252275 http://dx.doi.org/10.1097/MD.0000000000001163 Text en Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | 5900 Seccia, Teresa Maria Rossitto, Giacomo Calò, Lorenzo A. Rossi, Gian Paolo Oral Burning With Dysphagia and Weight Loss |
title | Oral Burning With Dysphagia and Weight Loss |
title_full | Oral Burning With Dysphagia and Weight Loss |
title_fullStr | Oral Burning With Dysphagia and Weight Loss |
title_full_unstemmed | Oral Burning With Dysphagia and Weight Loss |
title_short | Oral Burning With Dysphagia and Weight Loss |
title_sort | oral burning with dysphagia and weight loss |
topic | 5900 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4616619/ https://www.ncbi.nlm.nih.gov/pubmed/26252275 http://dx.doi.org/10.1097/MD.0000000000001163 |
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