Autoimmune dysphagia.

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-07-29 DOI:10.1097/MOO.0000000000000995

Vicky Tai, Ravi Suppiah

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Abstract

Purpose of review: Dysphagia is a complication of several autoimmune rheumatic diseases and otorhinolaryngologists are likely to be involved in the assessment and management of patients with such conditions. This review provides an update on rheumatic diseases that may cause swallowing impairment, with particular focus on the epidemiology, pathophysiology and management of dysphagia in these conditions.

Recent findings: Dysphagia is a common complication of the following rheumatic diseases: idiopathic inflammatory myopathies, systemic sclerosis, Sjogren's syndrome, systemic lupus erythematosus and rheumatoid arthritis. It may also be a complication of rarer autoimmune conditions such as Bechet's syndrome, sarcoidosis and granulomatosis with polyangiitis. All three stages of swallowing (oral, pharyngeal and oesophageal) may be impaired in these conditions. Both medical therapy and surgical intervention play an important role in the management of autoimmune dysphagia.

Summary: The investigation and management of autoimmune dysphagia requires close collaboration between rheumatologists and otorhinolaryngologists. There is a need for further research to establish standardised guidelines on the assessment and management of autoimmune dysphagia.

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自身免疫性吞咽困难

审查目的：吞咽困难是多种自身免疫性风湿病的并发症之一，耳鼻喉科医生可能会参与此类疾病患者的评估和管理。本综述介绍了可能导致吞咽障碍的风湿性疾病的最新情况，尤其侧重于这些疾病的流行病学、病理生理学和吞咽困难的管理：吞咽困难是以下风湿性疾病的常见并发症：特发性炎症性肌病、系统性硬化症、Sjogren 综合征、系统性红斑狼疮和类风湿性关节炎。它也可能是贝切特综合征、肉样瘤病和多血管炎肉芽肿病等较罕见的自身免疫性疾病的并发症。在这些疾病中，吞咽的三个阶段（口腔、咽部和食道）都可能受损。总结：自身免疫性吞咽困难的检查和治疗需要风湿免疫科医生和耳鼻喉科医生的密切合作。有必要开展进一步研究，以制定有关自身免疫性吞咽困难评估和治疗的标准化指南。

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来源期刊

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.

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