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Pseudoachalasia as a paraneoplastic event in a patient with Hodgkin's disease.
Díaz Molina, Raúl José; Bosque López, Mariía José; Khorrami Minaei, Sam; Perelló Juan, Antonia; Garrido Durán, Carmen.
Afiliação
  • Díaz Molina RJ; Aparato Digestivo, Hospital Universitario Son Espases, España.
  • Bosque López MJ; Aparato Digestivo, Hospital Universitario Son Espases, España.
  • Khorrami Minaei S; Aparato Digestivo, Hospital Universitario Son Espases, España.
  • Perelló Juan A; Aparato Digestivo, Hospital Universitario Son Espases, España.
  • Garrido Durán C; Aparato Digestivo, Hospital Universitario Son Espases, España.
Rev Esp Enferm Dig ; 116(4): 237-238, 2024 Apr.
Article em En | MEDLINE | ID: mdl-37771285
Pseudoachalasia or secondary achalasia (5% of achalasias that are deemed primary achalasias) is an esophageal motor disorder with manometric criteria for achalasia, but it appears in the context of an underlying pathology that can be attributed to its origin. Usually appears in >60 years with rapid evolution of symptoms (<1 year). The main cause of pseudoachalasia is neoformative etiology, but there are others. Our patient started with rapid progression dysphagia and was diagnosed with type II achalasia within a Hodgkin's lymphoma. In the radiological-metabolic studies, disease involvement was ruled out as an extrinsic compression of the esophagogastric junction as well as signs of its activity at this level. Chemotherapy has not been shown to play a role in the development of this pathology. On the other hand, radiotherapy has been associated with an esophageal motor disorder, but, in our case, it was after its onset. Therefore, we propose that the mechanism of pseudoachalasia in our case is a paraneoplastic event. This hypothesis is related to other similar cases reported, and it reflects the importance of continuing to investigate this clinical condition that is indistinguishable by manometry from primary achalasia. In addition, it usually presents differential clinical characteristics whose early recognition has implications for the diagnostic, therapeutic, and prognostic management of the patient.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença de Hodgkin / Transtornos de Deglutição / Acalasia Esofágica Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença de Hodgkin / Transtornos de Deglutição / Acalasia Esofágica Tipo de estudo: Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article