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Hypopharyngeal presentation of cicatricial pemphigoid: videofluorographic and direct laryngoscopic findings

Published online by Cambridge University Press:  26 February 2013

S Murono ,
Y Nakanishi ,
M Fujimoto  and
T Yoshizaki
S Murono*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Kanazawa University, Japan
Y Nakanishi
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Kanazawa University, Japan
M Fujimoto
Affiliation:
Department of Dermatology, School of Medicine, Kanazawa University, Japan
T Yoshizaki
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Kanazawa University, Japan
*
Address for correspondence: Dr S Murono, Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa 920-8640, Japan Fax: 81-76-234-4265 E-mail: [email protected]
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Abstract

Objective:

Cicatricial pemphigoid can affect all mucosa of the upper aerodigestive tract; however, hypopharyngeal involvement is less frequent.

Case report:

This paper presents a 69-year-old male diagnosed as having cicatricial pemphigoid who was experiencing difficulty swallowing. Videofluorography with barium swallow demonstrated narrow flow through the medial hypopharynx, but not through the lateral hypopharynx. Direct laryngoscopy revealed that the postcricoid hypopharyngeal lumen had become narrow due to circumferential scar formation. Interestingly, detached thin membranous webs were observed beyond the circumferential scar.

Conclusion:

This report describes important videofluorographic and direct laryngoscopic findings showing rare hypopharyngeal involvement in a case of cicatricial pemphigoid.

Keywords

Cicatricial pemphigoidVideofluorographyHypopharynxLaryngoscopyStenosis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 4 , April 2013 , pp. 429 - 431
Copyright
Copyright © JLO (1984) Limited 2013

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