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Rehabilitation Practice and Science

Translated Title

皮肌炎症患者之吞嚥障礙：病例報告及文獻回顧

Abstract

Dysphagia frequently occurs in patients inflicted with dermatomyositis. Dysphagia in dermatomyositis patients is occasionally overlooked and misdiagnosed since it is not a major clinical manifestation. This article presented on a 31 years old woman inflicted with dermatomyositis. Dysphagia developed during her hospitalization, as evidenced by her difficulty in swallowing solid food and choking with nasal regurgitation while taking liquids. Psychogenic dysphagia was diagnosed simply owing to the lack of positive findings of esophagogram. The patient subsequently visited OPD of Physical Medicine and Rehabilitation Department. Although videofluoroscopic examination of swallowing study in our department revealed only mild oral stasis without aspiration, we instructed her on how to swallow safely to avoid potential aspiration. Her dysphagia gradually subsided after the recovery of the muscle power of four limbs and the disappearance of her skin rash. We believe that this case provides a rehabilitation model for the patients diagnosed as dysphagia and do not actively participate in a rehabilitation program. The physiatrist, as a specialist in dealing with the dysphagia, should become more familiar with this issue.

Language

Traditional Chinese

First Page

145

Last Page

149

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