Idiopathic hypopharynx ulcer presented with dysphagia: A case report

Abstract

A 26-year-old male patient who presented to the otorhinolaryngology outpatient clinic with hypopharynx ulcer was consulted to the gastroenterology outpatient clinic. He had been diagnosed as having hypopharynx ulcer 5 years before, and no etiology had yet been identified. No systemic disease was diagnosed with gastroscopy and colonoscopy. No other disease that might be the cause of hypopharynx ulcer was found. The patient was then diagnosed as having 'idiopathic hypopharynx ulcer', and corticosteroid therapy was started. The ulcer healed with this therapy. Hypopharynx is an area that is always explored during upper gastrointestinal endoscopy and might be attacked by disease processes involving the gastrointestinal tract. All etiologic factors should be researched when a hypopharynx ulcer is seen, and it must be kept in mind that it may be idiopathic.

Keywords

• Dysphagia, hypopharynx ulcer, corticosteroid

Disfaji şikayeti ile gelen idiopatik hipofarinks ülseri, olgu sunumu

Öz

26 yaşında erkek hasta yaklaşık 5 yıldır olan ve tüm tetkiklerle tanı konulup, tedavi edilemeyen hipofarinks ülserinin değerlendirilmesi amacı ile kulak boğaz burun kliniği tarafından konsülte edildi. Gastroskopisinde ve kolonoskopisinde gastrointestinal sitemi tutan bir hastalık saptanmadı. Tüm olası tanılar ekarte edildikten sonra idiopatik hipofarinks ülseri tanısı konarak, steroid tedavisi başlandı. Bu tedavi ile hastanın lezyonu tamamen iyileşti. Hipofarinks gastroskopi işleminde sürekli olarak gözlemlediğimiz ve oluşabilecek patolojilerin gastrointestinal sistem traktı ile devamlılık gösterebileceği bir bölgedir. Hipofarenks ülserlerinde etyolojik tüm nedenler ekarte edilmeli, idiopatik olarak oluşabileceği de akılda tutulmalıdır.

Anahtar Kelimeler

• Disfaji, hipofarinks ülseri, kortikosteroid

Kaynakça

1. Uppaluri R, Sunwoo JB. Neoplasms of the hypopharynx and cervical esophagus. In; Flint: Cummings Otolaryngology: Head & Neck Surgery, 5thed.
2. Vazquez JA, Skiest DJ, Nieto L, et al. A multicenter randomized trial eva- luating posaconazole versus fluconazole for the treatment of orophary- ngeal candidiasis in subjects with HIV/AIDS. Clin Infect Dis 2006; 42: 1179-86.
3. Harrison NK, Knight RK. Tuberculosis of the nasopharynx misdiagnosed as Wegener's granulomatosis. Thorax 1986; 41: 219-20.
4. Yiğit O, Alkan S, Başak T, Dadaş B. Behçet's disease presenting with a hypopharyngeal ulcer. Eur Arch Otorhinolaryngol 2005; 262: 151-3.
5. Kobayashi T, Kikawada T, Shima K, Fukuda O. Ulceration and stenosis of the hypopharynx and its surgical management. Head Neck Surg 1982; 5: 65-9.
6. Evaluation of diagnostic “classification”) criteria in Behçet’s disease to- wards internationally agreed criteria. International Study Group for Beh- çet’s Disease. Br J Rheumatol 1992; 31: 299-308.
7. Harrison DF. Idiopathic ulceration of the hypopharynx. Laryngoscope 1985; 95: 292-4.