Unusual association of diseases/symptoms
A rare cause of dysphagia and gastroparesis
1 St Thomas’ Hospital, Gastroenterology, College house, Lambeth Palace Road, London, SE1 7EH, UK
2 Conquest Hospital, Medicine, The Ridge, St Leonards On Sea, Kent, TN37 7RD, UK
3 Conquest Hospital, Histopathology, The Ridge, St Leonards On Sea, TN37 7RD, UK
4 Conquest Hospital, Gastroenterology, The Ridge, St Leonards On Sea, Kent, TN37 7RD, UK
5 Conquest Hospital, The Ridge, St Leonards On Sea, Kent, TN37 7RD, UK
Correspondence to:
Krishna Prakash Basavaraju, kpbasavaraju{at}talk21.com
An 82-year-old woman was admitted with severe vomiting and progressive dysphagia mainly to solids. She gave a 3-month history of increasing heartburn, vomiting, tiredness, lethargy, anorexia and 13 kg weight loss. Her past medical history was unremarkable and she was a non-smoker. Physical examination revealed evidence of significant weight loss and dehydration only. Gastroscopy revealed mild oesophagitis, tongues of Barrett oesophagus and mild antral gastritis. CT scan of the thorax and abdomen was normal. Unfortunately her condition deteriorated rapidly and she died from aspiration pneumonia. Postmortem examination revealed thickening of the muscular wall of lower oesophagus and pylorus, but without any malignancy. The histological assessment of the oesophageal as well as gastric biopsies confirmed the diagnosis of gastrointestinal amyloidosis accounting for her symptoms of dysphagia and vomiting respectively.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full text of all Editor's Choice articles and summaries of every article are free without registration
The full text of Images in ... articles are free to registered users
Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource
Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog
