咽喉頭異常感症を呈した尋常性天疸瘡の一症例

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A 59-year-old man complained of an abnormal sensation in the laryngopharynx. The patient had received an early-stage gastrectomy on February 6,1989.<BR>The present illness, consisting of an abnormal sensation in the laryngopharynx, mild pain on swallowing, and dysphagia, began around July 1990. Because of these symptoms, the patient visited our clinic on October 22,1990, and was diagnosed by esophageal en- doscopy as having a geographical erosion and ulcer in a region beginning approximately 35 cmfrom the incisor teeth and continuing to the inlet to the esophagus. Biopsy was per- formed and a diagnosis of pemphigus vulgaris was made. The patient is being treated at the outpatient service with 5 mg predonine, and the clinical course is being monitored.<BR>We conclude that patients who present with intractable stomatitis or an abnormal sensation in the laryngopharynx should receive endoscopy for early histological diagnosis and treatment.
耳鼻咽喉科臨床学会の論文