Relapsed Esophageal Web in a Patient with Plummer-Vinson Syndrome

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2014³â 14±Ç 2È£ p.117 ~ p.120

¿ø°­¿¬(Won Kang-Yeon) - Catholic University Daejeon St. Mary¡¯s Hospital Department of Internal Medicine
ÁÖÀϳ²(Ju Il-Nam) - Catholic University Daejeon St. Mary¡¯s Hospital Department of Internal Medicine
¹®ÇüÀÏ(Moon Hyung-Il) - Catholic University Daejeon St. Mary¡¯s Hospital Department of Internal Medicine
ÃÖ¿ìÇü(Choi Woo-Hyung) - Catholic University Daejeon St. Mary¡¯s Hospital Department of Internal Medicine
Á¤¼º¹Î(Jung Sung-Min) - Catholic University Daejeon St. Mary¡¯s Hospital Department of Internal Medicine
ÃÖÇýÁø(Choi Hye-Jin) - Catholic University Daejeon St. Mary¡¯s Hospital Department of Internal Medicine
(Oh Su-Yun) - Catholic University Daejeon St. Mary¡¯s Hospital Department of Internal Medicine
°­ÇöÁ¤(Kang Hyeon-Jeong) - Catholic University Daejeon St. Mary¡¯s Hospital Department of Internal Medicine Division of Cardiology
À̵¿Àç(Lee Dong-Jae) - Catholic University Daejeon St. Mary¡¯s Hospital Department of Internal Medicine
±è°æÇö(Kim Kyung-Hyun) - Catholic University Daejeon St. Mary¡¯s Hospital Department of Internal Medicine
(Jung Gu-Sung) - Catholic University Daejeon St. Mary¡¯s Hospital Department of Internal Medicine
À̽¿ì(Lee Seung-Woo) - Catholic University Daejeon St. Mary¡¯s Hospital Department of Internal Medicine

Abstract

Plummer-Vinson syndrome is characterized by dysphagia, iron deficiency anemia, and upper esophageal web. The associated symp-toms can be resolved by administering iron supplements as well as by endoscopic intervention. Relapse in patients with Plummer-Vinson syndrome is very rare. We describe a case of a 42-year-old woman with Plummer-Vinson syndrome whose symp-toms were successfully treated with endoscopic dilatation and iron supplementation at first admission; however, 1 year later, she revisited our hospital because of dysphagia. On second admission, investigations revealed esophageal web relapse in Plummer-Vinson syndrome. She was again successfully treated with endoscopic dilatation and iron supplementation. After first ad-mission, her anemia was not normalized due to poor compliance and loss of follow-up. We experienced a case of esophageal web relapse due to uncorrected iron deficiency anemia in a patient with Plummer-Vinson syndrome. This experience indicates that con-tinuous iron supplementation and long-term follow-up is important in patients with Plummer-Vinson syndrome.

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Plummer-Vinson syndrome, Iron deficiency anemia, Deglutition disorders, Recurrence
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