Swallowing Therapy for Systemic Amyloidosis-induced Dysphagia: A casereport

Authors

I-Hsien Wu
Ching-Chi Chen
Mei-Yi Wu
Li-Chen Tung
Jung-Tai Liu

Translated Title

類澱粉沉積症併發吞嚥困難之吞嚥治療：病例報告

Abstract

Amyloidosis is defined as the extracellular deposition of fibrillar proteins in different organs and tissues. The clinical features of amyloidosis include cardiomyopathy, hepatomegaly, proteinuria, macroglossia, and dysphagia. We report the case of a 52-year-old man with myeloma-associated amyloidosis who complained of progressive dysphagia, dysarthria, and macroglossia. Videofluoroscopic swallowing study revealed severe reduction in tongue movements, aspiration after swallowing, and retention in the valleculae and pyriform sinuses. The patient underwent swallowing therapy for 6 months; the therapy included compensatory neck flexion, vocal cord adduction exercises, supraglottic swallow, and the Mendelsohn maneuver. The swallowing therapy enabled the patient to swallow liquid and soft solids without choking. Thus, swallowing therapy is helpful and improves the quality of life of patients with severe dysphagia induced by amyloidosis.

Language

Traditional Chinese

DOI Link

https://doi.org/10.6315/2011.39(1)04

First Page

25

Last Page

29

Recommended Citation

Wu, I-Hsien; Chen, Ching-Chi; Wu, Mei-Yi; Tung, Li-Chen; and Liu, Jung-Tai (2011) "Swallowing Therapy for Systemic Amyloidosis-induced Dysphagia: A casereport," Rehabilitation Practice and Science: Vol. 39: Iss. 1, Article 4.
DOI: https://doi.org/10.6315/2011.39(1)04
Available at: https://rps.researchcommons.org/journal/vol39/iss1/4