Plummer-Vinson Syndrome in Children.
J Pediatr Gastroenterol Nutr
; 61(5): 547-52, 2015 Nov.
Article
in En
| MEDLINE
| ID: mdl-26502163
ABSTRACT
OBJECTIVES:
Plummer-Vinson syndrome (PVS), also called Kelly-Paterson syndrome, is a rare cause of dysphagia in children. This syndrome associates single or multiple webs in the upper esophagus with frequent iron deficiency.METHODS:
We reported 3 pediatric cases of PVS before analyzing all of the cases of PVS in children reported in the PubMed and EMBASE databases.RESULTS:
Among 17 reported PVS cases in children, all of the patients experienced iron-deficiency anemia, and no immunological disease was reported. The male/female ratio was 1/1.9, and most cases were observed in adolescents. Conversely to adults, endoscopic dilation was often necessary because dysphagia resisted iron supplementation. A single dilation was usually sufficient. One case of pediatric PVS experienced esophageal cancer in adulthood.CONCLUSIONS:
In the case of dysphagia in children, a swallow barium exploration with lateral incidence should look for PVS. Conversely to adults, an endoscopic dilation is frequently necessary to control dysphagia in children.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Deglutition Disorders
/
Plummer-Vinson Syndrome
/
Anemia, Iron-Deficiency
/
Esophagus
Type of study:
Etiology_studies
Limits:
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
En
Journal:
J Pediatr Gastroenterol Nutr
Year:
2015
Document type:
Article
Affiliation country:
Francia