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.
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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