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[Dysphagia] dermatomyositis
- Subject: [Dysphagia] dermatomyositis
- From: adebin at bigpond.net.au (Aviva Debinski)
- Date: Fri, 15 Dec 2006 00:21:02 +1100
Can anyone offer suggestions for a 55yr old lady with a Dx 6months ago
of dermatomyositis. She presented with mild swallowing problems and I
asked her to do the Shaker exercises for pharyngeal strengthening. She
presneted again a few days ago with a severe worsening of her dysphagia
. VF showed a marked weakness in bolus driving force and pharyngeal
motility with severe stasis in her vall and pyriforms. Solids appeared
to stick in the oropharynx placing her at great risk. Is there a
contraindication for the Shaker exs in this population? Could that have
made her prob worse? She has now been admitted to hopsital for IV
intragam and infliximab which seems to be helping.. Any thoughts?
Aviva Debinski
Ph: +61 3 95762116
Fx: +61 3 95096021
Email: adebin at bigpond.net.au
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