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Acute reversible dysphagia and dysphonia as initial manifestations of sarcoidosis
J F Castroagudin1, A Gonzalez-Quintela, J Moldes
1Department of Gastroenterology, Complejo Hospitalario Universitario, Santiago de Compostela, Spain.
Hepato-Gastroenterology
|October 16, 1999
Abstract:
A 60 year-old white woman presented with sudden painless dysphagia, hoarseness and dysphonia. A diagnosis of sarcoidosis was made based on bilateral hilar lymphadenopathy, gallium uptake, elevated serum angiotensin-converting enzyme levels, as well as non-caseating granulomatous lymphadenitis in a prescalenic node. Symptoms were attributed to isolated vagus neuropathy, a rare form of presentation of neurosarcoidosis.