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2015 ; 94
(31
): e1163
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Oral Burning With Dysphagia and Weight Loss
#MMPMID26252275
Seccia TM
; Rossitto G
; Calò LA
; Rossi GP
Medicine (Baltimore)
2015[Aug]; 94
(31
): e1163
PMID26252275
show ga
Fibromyalgia is a disorder characterized by an abnormal pain regulation.
Widespread pain, fatigue, and sleep disturbance are the prevalent symptoms. When
unusual symptoms are overbearingly predominant at clinical presentation, the
diagnosis becomes challenging.We report on the case of a patient with
fibromyalgia, who presented with dysphagia, odynophagia, and glossodynia as
prevalent symptoms. Difficulty in swallowing gradually developed over a month
prior hospitalization, and worsened progressively so that nourishment and fluid
intake were impeded.Because anemia with mild iron deficiency was found,
esophagogastroduodenoscopy was performed, but no lesions were seen in the upper
digestive tract. Levels of zinc and vitamin B12 were normal. Intense pain at
pelvis and the inferior limbs, which was at a first glance referred to as
osteoarthrosis, associated with oral symptoms and feeling of being in the clouds
allowed us to diagnose fibromyalgia. Amitriptyline was used, with relief of
symptoms.Although oropharyngeal symptoms were occasionally reported in
fibromyalgia, they are often overlooked. The present case, therefore, testifies
the need to consider the diagnosis of fibromyalgia when the patient presents with
such symptoms that cannot be readily explained on other grounds.
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