IDDF2018-ABS-0009 Breaking the web: a case of plummer vinson syndrome in the philippines


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Abstract

BackgroundPlummer Vinson syndrome (PVS) is an extremely rare disease characterised by the triad of iron deficiency anaemia, dysphagia and cervical esophageal web. The most accepted possible aetiology of this syndrome is iron deficiency anaemia. The prevalence of anaemia in third world countries is high and yet there is no published case to date of PVS in the Philippines.MethodsWe report a case of a 44 years old female, Filipino with two decades of iron deficiency anaemia, a decade of dysphagia with a cervical esophageal web on esophagogastro-duodenoscopy (EGD).ResultsAfter EGD with mechanical dilatation, dysphagia was resolved, and patient now is able to eat a full regular meal. She was given iron supplementation and advised annual esophagogastroduodenoscopy.ConclusionsThe triad of iron deficiency anaemia, dysphagia and cervical esophageal web is Plummer Vinson syndrome which can be readily managed by iron supplementation and esophageal dilatation. Patients need to be on annual surveillance EGD due to risk for esophageal or pharyngeal malignancy.

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