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Updated: Sep 10, 2025
04:16
Whole Body Vibration Methods with Survivors of Polio
Published on: October 17, 2018
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Síndrome de Plummer-Vinson en un paciente postpolio: una intersección rara de secuelas neuromusculares y
Subadradevi J1, Vaikunda John2, Shiv Sundar S2
1PSG College of Pharmacy, PSG Institute of Medical Sciences and Research, Coimbatore, India subadradevij@psgpharma.ac.in.
BMJ case reports
|August 21, 2025
Resumen
Este estudio de caso muestra cómo la discapacidad física de la polio puede conducir al síndrome de Plummer-Vinson (SVP) a través de una nutrición deficiente. La terapia nutricional inmediata y la dilatación esofágica mejoraron significativamente la deglución y la salud general del paciente.
Área de la Ciencia:
- La medicina
- La nutrición
- Gastroenterología
Sus antecedentes:
- Una mujer con antecedentes de poliomielitis paralítica experimentó disfagia progresiva, fatiga y pérdida de peso.
- Su movilidad limitada y la fatiga llevaron a una dieta restringida, causando deficiencias de hierro, vitamina B12, calcio y proteínas.
Objetivo del estudio:
- Para investigar la causa de la disfagia y la desnutrición en un paciente con antecedentes de poliomielitis.
- Para resaltar el vínculo entre la discapacidad física, las deficiencias nutricionales y el síndrome secundario de Plummer-Vinson (PVS).
Principales métodos:
- Evaluación clínica para la deficiencia de múltiples nutrientes.
- Pruebas de laboratorio para confirmar deficiencias específicas, incluida la anemia por deficiencia de hierro.
- Endoscopia gastrointestinal superior para diagnosticar las anomalías del esófago.
- Dilatación de la red esofágica e inicio de la terapia nutricional dirigida.
Principales resultados:
- Deficiencia multinutriente confirmada, incluyendo anemia por deficiencia de hierro.
- Se identificó una red esofágica postcricoidea, consistente con el síndrome de Plummer-Vinson.
- Dilatación exitosa de la red esofágica y mejora significativa en la deglución, los niveles de energía y el estado nutricional después de la suplementación.
Conclusiones:
- La discapacidad física y las deficiencias nutricionales resultantes pueden contribuir al desarrollo de PVS secundario.
- Una evaluación exhaustiva de la dieta es crucial para los pacientes con discapacidades físicas y disfagia.
- El manejo multidisciplinario que incluye terapia nutricional e intervención endoscópica puede tratar eficazmente el PVS en este contexto.
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