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Current Rheumatology Reports

Erschienen in:

01.10.2020 | Inflammatory Muscle Disease (L Diederichsen and H Chinoy, Section Editors)

Impact and Management of Dysphagia in Inflammatory Myopathies

verfasst von: Rachel Zeng, Jens Schmidt

Erschienen in: Current Rheumatology Reports | Ausgabe 10/2020

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Abstract

Purpose of Review

Dysphagia is a common symptom in inflammatory myopathies. This review provides an overview on the epidemiology, clinical impact, and management of dysphagia in myositis. Relevant diagnostic tools and treatment strategies are discussed.

Recent Findings

Dysphagia can occur in any inflammatory myopathy, particularly in inclusion body myositis (IBM). It can lead to malnutrition or aspiration with subsequent pneumonia or even death. Dysphagia can be explored and monitored by patient-reported outcome scales for swallowing. New diagnostic tools such as real-time MRI and oro-pharyngo-esophageal scintigraphy have been studied for assessing dysphagia. Botulinum toxin injection can alleviate dysphagia in IBM. High-dose glucocorticosteroids are considered a first-line treatment for dysphagia in all other myositis subforms.

Summary

Evaluation of dysphagia in myositis requires thorough clinical workup and appropriate instrumental procedures. Treatment options are available for dysphagia, but controlled trials and consensus on best patient care are required for this important symptom.

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Titel: Impact and Management of Dysphagia in Inflammatory Myopathies
verfasst von: Rachel Zeng
Jens Schmidt
Publikationsdatum: 01.10.2020
Verlag: Springer US
Erschienen in: Current Rheumatology Reports / Ausgabe 10/2020
Print ISSN: 1523-3774
Elektronische ISSN: 1534-6307
DOI: https://doi.org/10.1007/s11926-020-00950-3

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