Summary
We describe the case of a female patient who presented with rheumatoid arthritis accompanied by severe dysphagia that led to prostration. The clinical picture and a barium contrast swallowing study suggested neoplastic proliferation at the borderline between the hypopharynx and the oesophagus. A comprehensive examination, however, did not confirm neoplasm. Dysphagia was caused rather by mucoso-fibrotic changes at the borderline between the hypopharynx and the oesophagus, representing the simultaneous presence of the Paterson-Kelly syndrome and secondary Sjögren's syndrome.
This is a preview of subscription content, access via your institution.
References
Flusser, J. Plummer-Vinson's syndrome. In: Repetitorium, 4th ed., Ed.: Štrok et al. Avicenum, Praha, 1982, 1393–1394.
Foster, H. Association of DR 3 with susceptibility to and severity of primary Sjögren's syndrome in a family study. Br J Rheumatol 1992, 31, 309–314.
Fox, R. Sjögren's syndrome. Proposed criteria for classification. Arthritis Rheumatol 1986, 29, 577–585.
Kraus, A. et al. Raynaud's phenomenon in primary SS. Association with other extraglandular manifestations. J Rheumatol 1992, 19, 1527–1534.
Markusse, H.M. Ophthalmological examinations of patients with primary Sjögren's syndrome selected from rheumatological practice. Br J Rheumatol 1992, 31, 473–476.
Markusse, H.M. The diagnostic value of salivary fluid levels of beta 2 mikroglobulin, lysozyme and lactoferrin for primary Sjögren's syndrome. Clinical Rheumatol 1992, 11, 521–525.
Markusse H.K. et al. Glands in primary digital substraction sialography of the parotid glands in primary SS. J Rheumatol 1993, 20, 279–283.
Oxholm, P. Primary Sjögren's syndrome-clinical and laboratory markers of disease activity. Semin Arthritis Rheum 1992, 22, 114–126.
Pavelka, K. Sjögren's syndrome. Fysiatr Věstn 1990, 68, 22–31.
Vencovský, J. Criteria for classification of Sjögren's syndrome. Fysiatr Věstn 1992, 70, 126–131.
Whaley, K., Alspaugh, M.A. Sjögren's syndrome. In: Textbook of Rheumatology, 3rd ed., Ed.: Kelly, W.N. et al., Philadelphia, W.B. Saunder's Company 1989, 999–1019.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Dejmkova, H., Pavelka, K. An unusual clinical manifestation of secondary Sjögren's syndrome and concomitant Paterson-Kelly syndrome. Clin Rheumatol 13, 305–308 (1994). https://doi.org/10.1007/BF02249032
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02249032