Abstract
Disorders of the oral cavity, pharynx, and esophagus may be found in some dermatologic diseases. The connective tissue diseases especially may be accompanied by dysphagia. Furthermore, some rare inflammatory and bullous dermatologic diseases can lead to esophageal disorders. Finally, some infectious and malignant diseases occurring in human immunodeficiency virus (HIV)-infected patients cause dysphagia (Table 1). The following discussion presents a comprehensive review of these diseases and their typical esophageal dysfunction.
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Farmer RG, Gifford RW, Kines EA: Prognostic significance of Raynaud's phenomenon and other clinical characteristics of systemic sclerosis; a study of 271 cases.Circulation 21:1088–1095, 1960
Feussner H, Kreis M, Weiser HF: Motilitätsstörungen des Oesophagus bei progressiver systemischer Sklerodermie.Der Hautarzt, 39:291–297, 1988
Orringer MB, Dabich L, Zarafonetis CJD, Sloan H: Gastroesophageal reflux in esophageal scleroderma: diagnosis and implications.Ann Thorac Surg 22:120–130, 1976
Röther E, Peter HH: Progressive Systemsklerose. In: Peter HH (ed.):Klinische Immunologie. München-Wien-Baltimore: Verlag Urban & Schwarzenberg, 1991, pp 296–306
Katzka DA, Reynolds JC, Saul SH, Plotkin A, Lang CA, Ouyang A, Jimenez S, Cohen S: Barrett's metaplasia and adenocarcinoma of the esophagus in scleroderma.Am J Med 82(1):46–52, 1989
Holzmann H: Klassifikation der progressiven systemischen Sklero-dermie.Der Hautarzt 39(suppl VIII):130–132, 1988
Meurer M, Bieber T: Immunhistologische und serologische Diagnostik von Autoimmunerkrankungen der Haut.Der Hautarzt 38:59–68, 1987
Steen VD, Medsger TA, Rodnan GP: D-penicillamine therapy in progressive systemic sclerosis: a retrospective analysis.Ann Intern Med 97:652–659, 1982
Mensing H: Zur Therapie der progressiven Sklerodermie.Der Hautarzt 39(suppl VIII):132–133, 1988
Peter HH: Systemischer Lupus erythematodes. In: Peter HH (ed.):Klinische Immunologie. München-Wien-Baltimore: Verlag Urban & Schwarzenberg, 1991, pp 265–291
Magaro M, Altomonte L, Zoli A, Mirone L, Castrucci G, Alimandi L, Fichera A, Destito C, Romani M: Esophageal involvement in systemic lupus erythematosus: clinic, radiologic and manometric assessment.Dis Esophagus II(3):185–190, 1989
Thiele KG: Systemischer Lupus erythematodes (SLE) und verwandte Syndrome. In: Krück F, Kaufmann W, Bünte H, Gladtke E, Tölle R (eds.):Therapiehandbuch. München-Wien-Baltimore: Verlag Urban & Schwarzenberg, 1987, pp 1001–1006
Herz-E: Über die Beziehungen zwischen Dermatomyositis und malignen Tumoren. Dissertation, Mainz, 1969
Herzberg J: In: Herzberg J, Meinhof W (eds.):Kutane paraneoplastische Syndrome der Haut. Beiträge zur Dermatologie, Band 5. Erlangen: Perimed Verlagsgesellschaft, 1980, pp 67–70
Kreysel HW: Dermatomyositis. In: Korting GW (ed.):Dermatologie in Praxis und Klinik, Stuttgart: Thieme Verlag, 1979, Bd.III, pp 27–34, 60
Röther E, Peter HH: Polymyositis und Dermatomyositis. In: Peter HH (ed.):Klinische Immunologie. München-Wien-Baltimore: Verlag Urban & Schwarzenberg, 1991, pp 307–313
Bravaccio F, Tirri R, Ammendola A, Picillo U, Cantore R, Trabucco M, Tirri G: Clinico-developmental aspects in 44 cases of polymyositis/dermatomyositis.Acta Neurol Napoli 11(2–3): 102–116, 1989
Mensing H: Seltenere Immundermatosen mit Gelenkbeteiligung (Dermatomyositis, Sjögren-Syndrom, Sharp-Syndrom). In: Holzmann H, Altmeyer P, Marsch WCH, Vogel HG (eds.):Dermatologie und Rheuma. Berlin-Heidelberg-New York-Tokyo: Springer-Verlag, 1987, pp 292–300
Peter HH: Mischkollagenosen. In: Peter HH (ed.):Klinische Immunologie. München-Wien-Baltimore: Verlag Urban & Schwarzenberg, 1991, pp 292–295
Marshall JB, Kretschmar JM, Gerhardt DC, Winship DH, Winn D, Treadwell EL, Sharp GC: Gastrointestinal manifestations of mixed connective tissue disease.Gastroenterology, 98(5 Pt 1):1232–1238, 1990
Berg PA: Kollagenerkrankungen und immunologische bedingte Vaskulitiden. In: Siegenthaler W, Kaufmann W, Hornbostel H, Waller HD (eds.):Lehrbuch der inneren Medizin, 2nd ed. Stuttgart-New York: Thieme Verlag, 1987, pp 687–709
Haneke E: Morbus Behcet. In: Holzmann H, Altmeyer P, Marsch WCH, Vogel HG (eds.):Dermatologie und Rheuma. Berlin-Heidelberg-New York-Tokyo: Springer Verlag, 1987, pp 351–362
Brookes GB: Pharyngeal stenosis in Behcet's syndrome. The first reported case.Arch Otolaryngol 109:338–340, 1983
Levack B, Hanson D: Behcet's disease of the esophagus.J Laryngol Otol 93:99–101, 1979
Schmöckel C: Graft-versus-host-Krankheit. In: Schmöckel C (ed.):Diagnostisches und Differentialdiagnostisches Lexikon der Dermatologie und Venerologie. Bonn: CITA Verlags GmbH, 1986, pp 273–274
McDonald GB, Sullivan KM, Schuffler MD, Shulmann HM, Thomas ED: Esophageal abnormalities in chronic graft-versus-host disease in humans.Gastroenterology 80:914–921, 1981
Braun Falco O, Plewig G, Wolff HH: Blasenbildende Erkrankungen. In: Braun Falco O, Plewig G, Wolff HH (eds.):Dermatologie und Venerologie, 3rd ed. Berlin-Heidelberg-New York-Tokyo: Springer Verlag, 1984, pp 435–463
Agha FP, Raji MR: Esophageal involvement in pemphigoid: clinical and roentgen manifestations.Gastrointest Radiol 7:109–112, 1982
Kern IB, Eisenberg M, Willis S: Management of esophageal stenosis in epidermolysis bullosa dystrophica.Arch Dis Child 64:551–556, 1989
Agha FP, Francis IR, Ellis CN: Esophageal involvement in epidermolysis bullosa dystrophica: clinical and roentgenographic manifestations.Gastrointest Radiol 8:111–117, 1983
Levine MS, Woldenberg R, Herlinger H, Laufer I: Opportunistic esophagitis in AIDS: radiographic diagnosis.Radiology 165:815–820, 1987
Borelli S, Engst R: Cytomegalie-Virusinfektionen. In: Borelli S, Engst R (eds.):HIV-Infektion-AIDS, derzeitiger Stand der Epidemiologie, Diagnostik, Verfahrensweisen und therapeutischen Möglichkeiten (monograph). München: 1992, pp 47–48
Schäublin C: Krankheitsbilder. In: Schäublin C (ed.):AIDS-Kompendium Hoechst 1987, Ausgabe Bundesrepublik Deutschland (monograph) 1987, pp 48–114
Balthazar EJ, Megibow AJ, Hulnik D, Cho KC, Beranbaum E: Cytomegalovirus esophagitis in AIDS: radiographic features in 16 patients.AJR 149:919–923, 1987
Agha FP, Lee HH, Nostrant TT: Herpetic esophagitis: a diagnostic challenge in immunocompromised patients.Am J Gastroenterol 81:246–253, 1986
Hill CA, Harle TS, Mansel PMA: The prodrome. Kaposi's sarcoma and infections associated with acquired immunodeficiency syndrome: radiologic findings in 39 patients.Radiology 149:393–399, 1983
Caruso AJ, Sonies BC, Atkinson JC, Fox PC: Objective measures of swallowing in patients with primary Sjögren's syndrome.Dysphagia, 4:101–105, 1989
Castrucci G, Alimandi L, Fichera A, Altomonte L, Zoli A: Changes in esophageal motility in patients with systemic lupus erythematosus: an esophago-manometric study.Gastroenterol, 36(1):3–7, 1990
Fulp SR, Castell DO: Scleroderma esophagus.Dysphagia, 5(4):204–210, 1990
Genaro AR, Bacon HE: Dermatomyositis: an associated lesion of the gastrointestinal tract.Dis Colon Rectum, 12:;256–260, 1969
Helm JF: Role of saliva in esophageal function and disease.Dysphagia, 4:76–84, 1989
Horowitz M, McNeil JD, Maddern GJ, et al. Abnormalities of gastric and esophageal emptying in polymyositis and dermatomyositis.Gastroenterology, 90:343–349, 1986
Hundegger K, Leisner B, Krieg T, Luderschmidt C: Diagnostische Bedeutung der Ösophagusfunktionsszintigraphie bei systemischer Sklerodermie und anderen Kollagenosen. In: Holzmann H, Altmeyer P, Marsch WCH, Vogel HG (eds.):Dermatologie und Rheuma, Berlin-Heidelberg-New York-Tokyo: Springer-Verlag, 1987, pp 508–511.
Ramirez Mata M, Reyes PA, Alarcon Segovia D, et al. Esophageal motility in systemic lupus erythematosus.Am J Dig Dis, 19:132–136, 1974.
Scharffetter K, Kind P, Wollny Protzel D, Schuppe HC, Lakomek HJ, Goerz G: Die Sklerodermien.Z-Hautkr, 65(3):237–242, 245–246, 1990
Schuhmacker K: Autoimmunkrankheiten vom Typ der nekrotisie-renden Vaskulitis und der Bindegewebskrankheiten. In: Krück F, Kaufmann W, Bünte H, Gladtke E, Tölle R (eds.): Müchen-Wien-Baltimore: Therapiehandbuch, Verlag Urban & Schwarzenberg, 1987, pp 1111–1117
Sharon P, Greene ML: Esophageal involvement in bullous pemphigoid.Gastrointest Endosc. 24:122–123, 1978
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Bübl, R., Schön, B. Dysphagia in dermatologic disease. Dysphagia 8, 85–90 (1993). https://doi.org/10.1007/BF02266986
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DOI: https://doi.org/10.1007/BF02266986