DOI: 10.36347/sjmcr.2016.v04i05.002

Pages: 288-291

Inclusion body myositis is a rare cause of dysphagia. We report a case of 74 year old Caucasian lady, who has a background of inclusion body myositis and presented with a history of chronic dysphagia. She noticed sudden worsening of symptoms. Flexible nasoendoscopy showed normal larynx with pooling of saliva in pyriform fossa as a result of obstruction in oesophagus. Barium contrast swallow study showed complete obstruction at the level upper oesophageal sphincter. She was treated with balloon dilatation of cricopharyngeus inlet. She noticed improvement in swallow following the balloon dilatation treatment. 9 months after treatment she still continues to swallow normally. This case report focuses on etiology, pathophysiology, presentation and management aspects of dysphagia associated with inclusion body myositis.