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Silent dysphagia in two patients with Steinert disease and recurrent respiratory exacerbations
Authors:Anna Annunziata  Tullio Valente  Rosa Cauteruccio  Giuseppe Fiorentino
Institution:1. UOC Pathophysiology and Respiratory Rehabilitation, Intensive Care Department, Azienda Ospedaliera dei Colli, Naples, Italy;2. UOC Radiology, Azienda Ospedaliera dei Colli, Naples, Italy
Abstract:We describe two cases of patients with Steinert’s dystrophy or myotonic dystrophy type 1 (DM1) who presented with frequent respiratory exacerbations and pneumonia. They did not report any risk factors for asthma, allergy, bronchopathy or dysphagia in their history. The Videofluoroscopic swallow study test allowed to highlight post-swallowing aspiration phenomena responsible for respiratory exacerbations.Key words: dysphagia, Steinert disease, respiratory exacerbation
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