염증성 근육병증 환자에서의 연하장애
Dysphagia in Inflammatory Myopathy
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Abstract
Objective: To determine the prevalence and phases of dysphagia in inflammatory myositis. Method: We surveyed 106 patients diagnosed with inflammatory myositis by rheumatologist. After applying exclusion criteria, 64 patients were studied. We performed chart review and questionnaire survey for current feeding status, underlying diseases, the prevalence and phases of dysphagia. Questionnaire was composed of 11 different questions, 7 for the evaluation of oral phase and 4 for pharyngeal phase. Results: There were 25 males and 39 females, and the average age was 45.1±15.9 years. The average age when diagnosed was 41.4±14.8 years. The proportion of dysphagia at onset was 50%; 34.4% in oral phase and 43.8% in pharyngeal phase. There was no significant difference between dermatomyositis and polymyositis regarding the proportion. The most common cause of dysphagia in oral phase was dry mouth (28.1%), and the second common causes were opening of mouth (12.5%), chewing (12.5%), and residual material in mouth (12.5%). The most common cause in pharyngeal phase was pharyngeal muscle weakness (35.9%), and the second common cause was choking sign indicating aspiration (29.7%). Conclusion: With the high proportion of dysphagia in inflammatory myositis, we should pay more attention to dysphagia, because we need to do swallowing training in these patients.
참고문헌 (16)
- 한태륜, "비디오투시검사를 이용한 뇌졸중 환자의 기능적 연하곤란척도.", 23, pp.1118~1126 (1999)
- American Speech Language and Hearing Association, "National outcomes measurement system" (1998), The American Speech Language and Hearing Association
- Berg HM, "A review of surgical results in patients with cricopharyngeal achalasia of neurogenic origin. Laryngoscope 1985", pp.1337~1340
- Cook IJ, "Structural abnormalities of the cricopharyngeus muscle in patients with pharyngeal", pp.556~562
- Cunningham JD Jr, "Head and neck manifestations of dermatomyositis-polymyositis. Otolaryngol Head Neck Surg 1985", pp.673~677
- Dietz F, "Cricopharyngeal muscle dysfunction in the differential diagnosis of dysphagia in polymyostis. Arthritis Rheuma 1980", pp.491~495
- Ekberg O, "Dysfunction of the cricopharyngeal muscle. A cineradiographic study in patients with dysphagia. Radiology 1982", pp.481~486
- Shapiro J, "Inflammatory myopathy causing pharyngeal dysphagia", 105, pp.331~335 (1996)
- Logemann J, "Evaluation and treatment of swallowing disorders. San Diego" (1983), College-Hill Press
- Marie I, "Influence of age on characteristics of polymyositis and dermatomyositis in adult.", 78, pp.139~147 (1999)
- Plotz P, "Current concepts in the idiopathic inflammatory myopathies", pp.143~157
- Seamen WB, "Cineradiographic observations of the cricopharyngeus muscle. Am J Roentgenol 1966", pp.922~933
- Verma A, "Inclusion body myositis with crico- pharyngeus muscle involvement and severe dysphagia. Muscle Nerve 1991", pp.470~473
- West EM, "Esophageal dysphagia treated by cricopharyngeal myotomy. Am Surg 1977", pp.703~707
- Williams RB, "Biomechanics, diagnosis, and treatment outcome in inflammatory myopathy presenting as oropharyngeal dysphagia.", 52, pp.471~478 (2003)
- Willing TN, "Swallowing problems in neuromuscular disorders. Arch Phys Med Rehabil 1994"