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October 26, 1979

Esophageal Motor Dysfunction in Systemic Lupus ErythematosusTwo Cases With Unusual Features

Author Affiliations

From the Department of Medicine, Harvard Medical School, Thorndike Laboratories at the Beth Israel Hospital, Boston.

JAMA. 1979;242(17):1895-1896. doi:10.1001/jama.1979.03300170041026

Two patients with systemic lupus erythematosus had intermittent episodes of dysphagia associated with severe nonpleuritic chest pain. Esophageal manometry disclosed abnormalities characteristic of diffuse esophageal spasm. The findings suggest that diffuse spasm should be considered in the differential diagnosis of unexplained chest pain and dysphagia in patients with lupus.

(JAMA 242:1895-1896, 1979)