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December 1973

Cricopharyngeal Achalasia in Dermatomyositis

Author Affiliations

St. Louis
From the Department of Otolaryngology, Washington University School of Medicine, St. Louis.

Arch Otolaryngol. 1973;98(6):428-429. doi:10.1001/archotol.1973.00780020442018

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.