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Inicio Acta Otorrinolaringológica Española Plummer Vinson syndrome
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Vol. 69. Núm. 2.
Páginas 122-123 (Marzo - Abril 2018)
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Vol. 69. Núm. 2.
Páginas 122-123 (Marzo - Abril 2018)
Images in Otorhinolaryngology
DOI: 10.1016/j.otorri.2017.01.003
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Plummer Vinson syndrome
Síndrome de Plummer Vinson
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Satvinder Singh Bakshia,
Autor para correspondencia
saty.bakshi@gmail.com

Corresponding author.
, Thilagaraj Lokesh Kumarb
a Dept of ENT and Head & Neck Surgery Mahatma Gandhi Medical College and Research Institute, Pillaiyarkuppam, Pondicherry, India
b Mahatma Gandhi Medical College and Research Institute, Pillaiyarkuppam, Pondicherry, India
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A 46-year old woman presented with progressive dysphagia to solids for 2 months. On examination she was pale and had glossitis and cheilitis (Fig. 1). The hemogram revealed microcytic hypochromic anemia with anisocytosis and hemoglobin of 5g/dL (12–14), MCH 20pg/dL (27–32), MCV68fL (80–95), serum iron 28μg/dL (50–140), serum ferritin 18ng/mL (25–250), and total iron binding capacity 490μg/dL (245–450). A diagnosis of Plummer Vinson syndrome was confirmed by a barium swallow, which showed a 2mm web in the post cricoid region (Fig. 2). The anemia was corrected with oral hematinics and blood transfusion and the web was dilated using an esophagoscope. She is asymptomatic at 9 months on last follow up. Plummer-Vinson (PV) syndrome or sideropenic dysphagia consists of a triad of dysphagia, iron deficiency anemia and esophageal webs. The exact etiology is still under investigation. Clinical features of iron deficiency anemia and barium swallow showing the typical post cricoids web confirms the diagnosis. The symptoms usually resolve by correction of the anemia, however sometimes dilatation of the web may be necessary for relieving the dysphagia. Regular follow up is warranted as it is thought to be a premalignant condition.

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No funding was obtained and there are no financial disclosures.

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Copyright © 2017. Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello
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