Plummer-Vinson syndrome physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Shyam Patel [2]; Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[3]

Overview

Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other findings on physical examination include pallor, stomatitis, atrophy of lingual papillae, splenomegaly (33%), achlorhydria and koilonychia.

Physical Examination

Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for glossitis, esophageal webs or strictures, and dysphagia. Other findings on physical examination include:[1][2][3][4][5][6][7]

Appearance of the Patient

  • Patients with Plummer-Vinson syndrome usually appear fatigued

Vital Signs

Skin

  • Pale skin color (Pallor)
  • Blue-tinged or very pale whites of eyes

HEENT

Neck

Odynophagia

Heart

  • S1/S2 normal. Additional heart sound such as S3 may be heard in patients with high output heart failure

Abdomen

Neuromuscular

  • Patient is usually oriented to time, place and person

Extremities

References

  1. Hoffman RM, Jaffe PE (1995). "Plummer-Vinson syndrome. A case report and literature review". Arch. Intern. Med. 155 (18): 2008–11. PMID 7575056.
  2. Mansell NJ, Jani P, Bailey CM (1999). "Plummer-Vinson syndrome--a rare presentation in a child". J Laryngol Otol. 113 (5): 475–6. PMID 10505167.
  3. Anthony R, Sood S, Strachan DR, Fenwick JD (1999). "A case of Plummer-Vinson syndrome in childhood". J. Pediatr. Surg. 34 (10): 1570–2. PMID 10549778.
  4. López Rodríguez MJ, Robledo Andrés P, Amarilla Jiménez A, Roncero Maíllo M, López Lafuente A, Arroyo Carrera I (2002). "Sideropenic dysphagia in an adolescent". J. Pediatr. Gastroenterol. Nutr. 34 (1): 87–90. PMID 11753173.
  5. Chisholm M (1974). "The association between webs, iron and post-cricoid carcinoma". Postgrad Med J. 50 (582): 215–9. PMC 2495558. PMID 4449772.
  6. Larsson LG, Sandström A, Westling P (1975). "Relationship of Plummer-Vinson disease to cancer of the upper alimentary tract in Sweden". Cancer Res. 35 (11 Pt. 2): 3308–16. PMID 1192404.
  7. Phatak S, Redkar N, Patil MA, Kuwar A (2012). "Plummer-Vinson syndrome". BMJ Case Rep. 2012. doi:10.1136/bcr-2012-006403. PMC 4543800. PMID 22843759.