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A rare manifestation of cricopharyngeal myopathy presenting with dysphagia in sarcoidosis

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Abstract

Sarcoidosis is a systemic inflammatory granulomatous disease that affects multiple organs in the body; however, dysphagia is a relatively rare manifestation at early stages. Dysphagia in sarcoidosis is attributed to many mechanisms, such as mediastinal lymphadenopathy, esophageal or laryngeal involvement, cranial neuropathy, and brainstem infiltration. In this article, we report an extremely rare case with sarcoidosis who presented with dysphagia due to isolated cricopharyngeal myopathy. The 75-year-old woman presented with slowly progressive swallowing difficulty and videofluorography showed insufficient opening of the upper esophageal sphincter. On presentation, she had no cranial nerve or central nervous system impairments. A cricopharyngeal myotomy was performed, and histopathological study revealed a significant inflammatory change with non-necrotizing granulomas within the muscle tissue. We concluded that this was a very rare case of sarcoidosis presenting with localized cricopharyngeal myopathy. Postoperatively, a contracture of the esophageal entrance was successfully released and the dysphagia was alleviated.

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Authors and Affiliations

  1. Department of Otolaryngology, Kochi University School, Kochi, Japan

    Kaori Nishikubo, Masamitsu Hyodo & Taisuke Kobayashi

  2. Department of Otolaryngology, Ehime University School of Medicine, Matsuyama, Japan

    Miyuki Kawakami

Authors
  1. Kaori Nishikubo
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  2. Masamitsu Hyodo
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  3. Miyuki Kawakami
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  4. Taisuke Kobayashi
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Correspondence to Masamitsu Hyodo.

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Nishikubo, K., Hyodo, M., Kawakami, M. et al. A rare manifestation of cricopharyngeal myopathy presenting with dysphagia in sarcoidosis. Rheumatol Int 33, 1089–1092 (2013). https://doi.org/10.1007/s00296-011-2242-y

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