It is a precancerous condition in which there is a severe spasm of circular muscle fibre at the cricopharyngeal sphincter level or pharyngo-oesophageal junction & it is associated with development of postcricoid web.
1.Women in the middle age group are affected .
2.Increasing dysphagia for solids & liquids due to spasm .
3.Features of anaemia - pallor, stomatitis ,ulcerations , bald tongue ,splenomegaly.
4.Cyanosis ,choking ,respiratory tract infection.
1.Reassurance
2.Improving anaemia-Iron tablets or blood transfusion & correction of nutritional deficiencies.
3.Regular dilatation by using gum elastic bougies
Aetiopathogenesis :
1.Aetiology is unknown .
2.It is seen in women who have anxiety & worry .
3.As a result of the spasm & web ,dysplasia results & leads to features of anaemia later.
2.It is seen in women who have anxiety & worry .
3.As a result of the spasm & web ,dysplasia results & leads to features of anaemia later.
Clinical features :
1.Women in the middle age group are affected .
2.Increasing dysphagia for solids & liquids due to spasm .
3.Features of anaemia - pallor, stomatitis ,ulcerations , bald tongue ,splenomegaly.
4.Cyanosis ,choking ,respiratory tract infection.
Treatment :
1.Reassurance
2.Improving anaemia-Iron tablets or blood transfusion & correction of nutritional deficiencies.
3.Regular dilatation by using gum elastic bougies
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