PARESTHESIA of the pharynx induces a variety of signs, such as soreness, dryness, burning, choking, scraping, tickling, desire to swallow, sensation of a foreign body, heat, cold, and itching. There may be spasm of the larynx resulting in dysphonia or spasm of the esophagus resulting in dysphagia. These cases of paresthesia of the pharynx are usually a challenge to the examiner, for in most of them no organic basis can be found.
Diagnosis is made by a process of elimination. First, tuberculosis and tumors should be ruled out. Then, one needs to consider the numerous conditions given in the literature as possible causes, such as hysteria, neurosis, anemia, gout, dyspepsia, alcoholism, hypochondriasis, and menopause. There may be regional disease such as nasal and sinus infection, inflammation of any of the components of Waldeyer's ring, e. g., tonsils, adenoids, lateral bands, posterior-pharyngeal wall lymphoid tissue, and lingual tonsils, and ossification of
SCHNEE IM. PARESTHESIA OF THE PHARYNX DUE TO CERVICAL ADENITIS. AMA Arch Otolaryngol. 1951;54(2):177–178. doi:10.1001/archotol.1951.03750080065008
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