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[Dysphagia] dermatomyositis
This isn't really an exercise issue. This needs to be treated with steroids
etc.
Tom
Tom Brennan KD5VIJ, CCC-A/SLP
web page http://titan.sfasu.edu/~g_brennantg/sonicpage.html
On Fri, 15 Dec 2006, Aviva Debinski wrote:
> Date: Fri, 15 Dec 2006 00:21:02 +1100
> From: Aviva Debinski <adebin at bigpond.net.au>
> To: dysphagia at b9.com
> Subject: [Dysphagia] dermatomyositis
>
> 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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