Dysphagia due to inclusion body myositis: case presentation and review of the literature.

[inclusion body myositis]

This report aimed to present a case of inclusion body myositis presenting with dysphagia and to review the literature .Case report and literature review .Inclusion body myositis is a chronic progressive acquired myopathy , uniquely distinguished by its selective muscle involvement , normal or moderately elevated muscle enzyme concentrations , and a progressive corticosteroid-resistant course . Compared to other inflammatory myopathies , the esophagus is the most commonly involved organ . Specifically , upper esophageal sphincter dysfunction often occurs . Dysphagia may be the only symptom at the time of presentation .Unlike other inflammatory myopathies , dysphagia in inclusion body myositis is steroid resistant . Management can be difficult . The otolaryngologist must consider underlying neuromuscular processes when evaluating the patient presenting with oropharyngeal dysphagia .