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Age and Ageing, Vol 28, 321-322, Copyright © 1999 by British Geriatrics Society


ARTICLES

Cervical osteoarthropathy: an unusual cause of dysphagia

P Srinivas and J George
Department of Medicine, University of Malaya, Kuala Lumpur. sri@unimed.po.my

PRESENTATION: A 72-year-old man complained of progressive dysphagia for solids associated with a sensation of foreign body in his throat for 2 years. A barium swallow showed a bridging osteophyte between C4 and C5 vertebrae indenting the oesophagus posteriorly and displacing it anteriorly. OUTCOME: He refused surgical intervention and was given dietary advice. After 6 months, his weight was steady and he was able to swallow semi-solid food without difficulty.
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