Spontaneous esophageal rupture in adult dermatomyositis

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Spontaneous esophageal rupture in adult dermatomyositis.

Dermatomyositis is a chronic inflammatory myopathy with severe prognosis. A 57-year-old woman suffering from dermatomyositis is presented who, in the course of the disease, developed acute spontaneous esophageal rupture due to dermatomyositis involvement of the esophagus. She was successfully treated with total esophagectomy and stomach interposition. This is the first report of spontaneous rup...

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Spontaneous pneumomediastinum in adult dermatomyositis.

Spontaneous pneumomediastinum has not been reported in adult polymyositis or dermatomyositis, either in conjunction with spontaneous pneumothorax or in isolation. Spontaneous pneumothorax has been rarely reported as a complication of rheumatoid arthritis, systemic lupus erythematosus, scleroderma, and childhood dermatomyositis. It is associated with active, progressive pulmonary involvement and...

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Prolonged spontaneous pneumomediastinum in adult dermatomyositis.

SIR, We read with great interest Dr Bradley's first reported case of pneumomediastinum in an adult with dermatomyositis.' We describe here a similar event, where spontaneous pneumomediastinum occurred in a patient with dermatomyositis and persisted for five months. In January 1986 a 20 year old man was admitted to hospital for assessment of recent generalised muscle, weakness. Examination showe...

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Spontaneous Esophageal Perforation and Hypopharyngeal Abscess in Adult Dermatomyositis: A Case Report

In patients with dermatomyositis, chronic inflammation of the pharynx and esophagus results in coughing and difficulty in swallowing. These become important clinical symptoms, especially if they contribute to malnutrition or aspiration pneumonia. They can ultimately reduce the quality of life. In rare cases, if the symptoms worsen despite proper treatment, serious complications may arise, a rea...

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Spontaneous esophageal rupture (Boerhaave's syndrome). An uncommon image.

A 76-year-old man was found lay down on the floor. After an acute alcohol intake he started vomiting. In the Emergency Room he was disoriented with lividity. Vital observation revealed low blood pressure and tachycardia, subcutaneous emphysema and basal rales on auscultation. Chest radiography with shadowing in the left lower zone. A water-soluble contrast esophagogram (Gastrograffin) revealed ...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 1996

ISSN: 1010-7940

DOI: 10.1016/s1010-7940(96)80408-8