ELLEN D. BURGESS, M.D.; K. CRAIG RENDER, M.D.
To the editor: Laryngeal or hypopharyngeal involvement is unusual in systemic lupus erythematosus (1), and progression to obliteration of the upper airway is rare. The patient described here developed acute upper airway and esophageal obstruction during an acute episode of systemic lupus erythematosus that led to her being diagnosed as having that disease.
A 59-year-old woman was hospitalized with the recent onset of painful mouth ulcers and difficulty swallowing. Her medical history included a 13-year history of hypertension and two myocardial infarctions. At the time of her latest myocardial infarction, she had been noted to have anemia (hemoglobin, 8 g/dL)
BURGESS ED, RENDER KC. Hypopharyngeal Obstruction in Lupus Erythematosus. Ann Intern Med. ;100:319. doi: 10.7326/0003-4819-100-2-319_1
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Published: Ann Intern Med. 1984;100(2):319.
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