How is dysphagia managed in polymyositis?

Updated: Jun 13, 2020
  • Author: Mythili Seetharaman, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

Dysphagia secondary to cricopharyngeal involvement in polymyositis/dermatomyositis is a rare manifestation and usually reflects poor prognosis. Dysphagia responds either slowly or poorly to im munosuppressive therapies or high-dose corticosteroids. A large case series indicated that treatment with IVIG can be effective in patients with steroid-resistant esophageal manifestations of polymyositis/dermatomyositis. [46]

Dysphagia may be severe enough to require enteral feeding through a gastrostomy tube or parenteral nutrition.


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