A patient with dermatomyositis is presented. Unusual aspects of this case are discussed, most notably the onset of cricopharyngeal achalasia after institution of steroid therapy, failure of dilatation to relieve this spasm, successful cricopharyngeal myotomy, and a diagnostic cricopharyngeal muscle biopsy in the face of nondiagnostic peripheral muscle biopsy.
Porubsky ES, Murray JP, Pratt LL. Cricopharyngeal Achalasia in Dermatomyositis. Arch Otolaryngol. 1973;98(6):428–429. doi:10.1001/archotol.1973.00780020442018
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