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[Achalasia and Guillain-Barré syndrome]. / Achalasie und Guillain-Barré-Syndrom.
Müller, M; Eckardt, V; Schrank, B; Graap, H.
Afiliación
  • Müller M; Fachbereich Gastroenterologie, Deutsche Klinik für Diagnostik Wiesbaden. mueller.gastro@dkdwiesbaden.de
Z Gastroenterol ; 47(11): 1149-52, 2009 Nov.
Article en De | MEDLINE | ID: mdl-19899023
A 47-year-old patient with a history of Guillain-Barré syndrome three years prior to evaluation and a severe persisting sensory neuronopathy, complained of dysphagia especially for solid food. He also had severe, intermittent retrosternal pain. Radiological and manometric studies showed the typical features of achalasia. Treatment with botulinum toxin injection improved the dysphagia but not the retrosternal pain. An autoimmune response triggered by an infection is discussed as one possible cause of ganglion cell degeneration within the myenteric plexus in patients with achalasia. Such a hypothesis is supported by our observation showing the simultaneous occurrence of achalasia, sensory neuronopathy, and Guillain-Barré syndrome.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Deglución / Acalasia del Esófago / Síndrome de Guillain-Barré Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Humans / Male / Middle aged Idioma: De Revista: Z Gastroenterol Año: 2009 Tipo del documento: Article Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Deglución / Acalasia del Esófago / Síndrome de Guillain-Barré Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Humans / Male / Middle aged Idioma: De Revista: Z Gastroenterol Año: 2009 Tipo del documento: Article Pais de publicación: Alemania