Plummer Vinson Syndrome in a Young African American Female: A Rare Entity

Kundumadam, Shanker; Tama, Maher; Naffouj, Sandra; Kathi, Pradeep; Ehrinpreis, Murray N.

doi:10.14309/00000434-201810001-01776

Cited by 1 publication

(3 citation statements)

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“… 5 , 6 , 24 Webs can appear as thin protrusions or esophageal imprints in the upper esophagus or post-cricoid region in patients with CD. 3 , 4 , 11 Patients with webs typically present with oropharyngeal dysphagia for solids, but because of their proximal location, deglutitive aspiration may occur. 25 In our case, it seems that iron deficiency, which is caused by CD, 26 , 27 has indirectly contributed to the occurrence of dysphagia as the patient reported improvement in swallowing after receiving a (1 gram) one-week course of IV iron supplementation.…”

Section: Discussionmentioning

confidence: 99%

“…Dysphagia with solids, soft foods and liquids 7,15 Dysphagia is limited to solid food and can include liquid if the condition is worsened 11,16,17 Dysphagia is usually episodic and worsened over years 15 Gradual onset starting with solid foods and difficulty swallowing liquids after years of initial onset 8,16 Tightness in throat and chest 7 Usually painless. 8,16,18 https://doi.org/10.2147/IMCRJ.S415775…”

Section: Pvsmentioning

confidence: 99%

“…As with PVS, patients with CD can also have esophageal webs. Hence, in a study conducted by Kundumadam et al, 11 two esophageal imprints were found in the cervical region in a patient with CD during a modified barium swallow study (MBSS), which indicated esophageal webs. Studies report an association between cervical esophageal webs and CD.…”

Section: Introductionmentioning

confidence: 98%

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Could Plummer–Vinson Syndrome Be Associated with Celiac Disease?

Alfaris,

Alamri,

Kurdi

et al. 2023

IMCRJ

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A 16-year-old female presented to our hospital clinic with a main complaint of difficulty swallowing. She reported mild dizziness and frequent fatigue and denied weight loss, fever, joint pain, or a history of diarrhea. Lab and physical results showed low weight; low hemoglobin, ferritin, and vitamin D levels; and a low red blood cell count. Swallowing assessment showed esophageal webs and swallowing difficulty, especially in the pharyngeal stage, and aspiration. It was initially suspected that clinical manifestations, including esophageal webs, iron deficiency anemia (IDA), and swallowing difficulty, were related to Plummer-Vinson syndrome (PVS). However, further investigations and pathological findings revealed several gastrointestinal manifestations consistent with celiac disease (CD). Based on this finding, the patient began a gluten-free diet for the management of CD. Afterward, she began to gain weight, followed by a resolution of swallowing difficulty. Therefore, clinicians should be familiar with the symptoms of CD when conducting a thorough clinical examination and maintain a high level of suspicion to rule out other causes and reach an accurate diagnosis. It is also recommended to screen all patients presenting with IDA, esophageal web, and dysphagia for CD even in the absence of diarrhea.

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