scholarly journals Plummer-Vinson Syndrome in an African-American Woman

2021 ◽  
pp. 557-561
Author(s):  
Keshav Patel ◽  
Mahmoud Kassir ◽  
Madhav Patel ◽  
Wesley Eichorn
Keyword(s):  
African American ◽  
Rare Case ◽  
Iron Supplementation ◽  
African American Woman ◽  
American Woman ◽  
Deficiency Anemia ◽  
Barium Swallow ◽  
Iron Level ◽  
Esophageal Web ◽  
Plummer Vinson Syndrome

Plummer-Vinson syndrome (PVS) presents with the classic triad of iron-deficiency anemia, dysphagia, and esophageal webs. The mainstay treatment of PVS is iron supplementation and the dysphagia usually responds to iron supplementation before the hematologic abnormalities are corrected. This syndrome classically affects middle-aged Caucasian women and very few cases have been reported in African Americans. We present a rare case of PVS in an African-American woman. A 63-year-old woman presented with shortness of breath, dysphagia, and lightheadedness for several weeks. Chest X-ray was negative for any acute abnormalities. Initial hemoglobin was 7.0 g/dL, which improved to 7.5 g/dL after 1 unit of packed red blood cells. She had a mean corpuscular volume of 62 fL, a ferritin level of 6 ng/mL, and an iron level of 12 μg/dL. Fecal occult blood test was negative and barium swallow revealed a proximal esophageal web. Her dysphagia did not significantly improve despite intravenous iron supplementation and esophageal web dilation. Video-fluoroscopic swallow study revealed esophageal and pharyngeal phase dysphagia with food entrapment. She was discharged with plans to follow up with a primary care physician and repeat esophagogastroduodenoscopy in 1 year. This case report highlights a rare case of PVS in an African-American woman and emphasizes the importance of maintaining a comprehensive and broad differential diagnosis.

scholarly journals A Case of Plummer-Vinson Syndrome Esophageal Web Dysphagia treated by Dilatation with Cuffed Endotracheal Tube

2011 ◽  
Vol 2 (3) ◽  
pp. 161-165 ◽  
Author(s):  
Sudhir Naik ◽  
Sarika S Naik ◽  
S Ravishankara ◽  
MC Shivakumar ◽  
Mohan K Appaji
Keyword(s):  
Iron Deficiency ◽  
Blood Transfusion ◽  
Endotracheal Tube ◽  
Iron Deficiency Anemia ◽  
Deficiency Anemia ◽  
White Female ◽  
Barium Swallow ◽  
Cuffed Endotracheal Tube ◽  
Esophageal Web ◽  
Plummer Vinson Syndrome

ABSTRACT Background/objectives Plummer-Vinson syndrome also known as sideropenic dysphagia is a disease characterized by chronic iron-deficiency anemia, dysphagia and esophageal web. It commonly affects white female in the 4th to 7th decade. Most of the dysphagia and iron deficiency can be treated by iron supplementation and rarely web dilatation is needed. Setting Department of ENT, Head and Neck Surgery and Anesthesia, KVG Medical College, Sullia, Karnataka, India. Case report A 36-year-old female with dysphagia of 10 months and iron-deficiency anemia with a small upper esophageal web seen on upper GI endoscopy and barium swallow. Intervention Conservative line of management with blood transfusion and dilatation of the web with cuffed endotracheal tube. Results A good symptomatic and radiological improvement was seen after blood transfusion and web dilatation with cuffed endotracheal tube. Conclusion Cuffed endotracheal tube dilatation is a better way of managing upper esophageal webs with minimal complications under general anesthesia.

scholarly journals Plummer-Vinson Syndrome and Heart Failure: An Unusual Association in an African American Woman

2019 ◽  
Vol 20 ◽  
pp. 1264-1267
Author(s):  
Zachary Field ◽  
Michelle Russin ◽  
Jacqueline Kropf ◽  
Maxim Olivier ◽  
Li Ge ◽  
...  
Keyword(s):  
Heart Failure ◽  
African American ◽  
African American Woman ◽  
American Woman ◽  
Unusual Association ◽  
Plummer Vinson Syndrome

scholarly journals A Rare Case of Congenital Syphilis and a Supernumerary Fourth Molar in an Early 20th Century African American Woman

2018 ◽  
Vol 29 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Stella Ioannou ◽  
Maciej Henneberg
Keyword(s):  
African American ◽  
Rare Case ◽  
Congenital Syphilis ◽  
African American Woman ◽  
American Woman ◽  
Washington Dc ◽  
African American Female ◽  
Supernumerary Teeth ◽  
X Ray ◽  
Permanent Molars

Congenital syphilis is a disease recognized for interfering with odontogenesis, producing specificdental characteristics including Hutchinson’s incisor, Moon’s molar, Fournier’s molar and mulberry molar,while its past treatments including mercury are known to affect amelogenesis. Supernumerary teeth, mainly associatedwith syndromes, are not commonly found in cases of congenital syphilis. A rare case of congenitalsyphilis in an individual (P000707) treated with mercury and a mandibular left fourth molar with normal morphologyis presented.Materials and Methods: During a systematic examination of 28 skeletons with treponemal disease at the Smithsonianmuseum in Washington, DC, a supernumerary mandibular distomolar in one individual (P000707) wasrevealed.Results: P000707 was an African American female, 26 years of age. Dentition showed severe enamel hypoplasiaof the maxillary and mandibular incisors, left canine, and upper first molars, consistent with the effects of treatmentof congenital syphilis by mercurial compounds. Crown of the left mandibular distomolar has typical molarmorphology but is smaller in size than other permanent molars. Arrangement of grooves resembles the +4 pattern,but is complex due to crenulation. Oblique x-ray revealed that the fourth molar had one root with a pulpchamber extending towards the apex, suggesting taurodontism. No other distomolar teeth were present.Conclusions: Congenital syphilis and treatment containing mercury may not influence the development of supernumeraryteeth due to: (1) the age at which the development of the fourth molar takes place, (2) the stage ofthe infection at the time of development and (3) the age at which treatments containing mercury are administeredto patients with congenital syphilis.

scholarly journals Triad of Iron Deficiency Anemia, Severe Thrombocytopenia and Menorrhagia–-A Case Report and Literature Review

2012 ◽  
Vol 5 ◽  
pp. CCRep.S9329 ◽  
Author(s):  
Ramy Ibrahim ◽  
Areej Khan ◽  
Shahzad Raza ◽  
Muhammad Kafeel ◽  
Ridhima Dabas ◽  
...  
Keyword(s):  
African American ◽  
Case Report ◽  
Iron Deficiency ◽  
Iron Deficiency Anemia ◽  
African American Woman ◽  
American Woman ◽  
Deficiency Anemia ◽  
Severe Thrombocytopenia ◽  
Distribution Width ◽  
Platelet Counts

Introduction Thrombocytosis is a common disorder in patients diagnosed with iron deficiency anemia. The decreased platelet counts commonly found iron deficiency anemia is rarely reported in clinical practice. The exact mechanism of the occurrence of thrombocytopenia in iron deficiency anemia remains unclear. In this case report we discuss a triad of symptoms seen in the African American population: Iron deficiency anemia, menorrhagia and thrombocytopenia. Case presentation A 40 year old multiparous African-American woman presented with heavy vaginal bleed, severe anemia (3.5 g/dL) and thrombocytopenia (30,000/mm3). The peripheral blood smear showed marked microcytic hypochromic cells with decreased platelets counts. After excluding other causes of thrombocytopenia and anemia, increased red cell distribution width and low iron saturation confirmed the diagnosis of iron deficiency anemia. Treatment for iron deficiency anemia was initiated with intravenous and oral iron supplements. Two months following treatment of iron deficiency anemia, the triad of manifestations resolved and patient remained stable. Conclusion Profound degree of iron deficiency anemia can present with thrombocytopenia and severe menorrhagia. Iron replacement should be the main treatment goal in these patients. This case report further supports the 2 compartment model of the role of iron in maintaining platelet counts.

Merle’s travel: A Quest For Completeness In Paule Marshall’s The chosen place, the timeless people.

2019 ◽  
Vol 5 (4) ◽  
pp. 36-42
Author(s):  
Dr. K. Radah ◽  
G. Gayathri
Keyword(s):  
African American ◽  
Social Context ◽  
African American Women ◽  
African American Woman ◽  
American Woman ◽  
Community Level ◽  
Dominant Culture ◽  
True Self ◽  
American Women ◽  
Human Need

African American women have been silenced and kept ignorant by the dominant culture and it is the human need to create and maintain a true self in a social context. However, such an endeavor becomes an ordeal for those who are doubly oppressed, for those who are muted and mutilated physically and psychically through the diabolic crossfire of caste/race, sex and colonialism. This paper focuses on, an African American Woman, throughout her journey of life, seeking completeness in terms of family, society and community level.

scholarly journals Peripheral Retinal Neovascularization with Vitreous Hemorrhage in HIV Retinopathy

2017 ◽  
Vol 8 (2) ◽  
pp. 353-357 ◽  
Author(s):  
Kim Jiramongkolchai ◽  
Tin Yan Alvin Liu ◽  
J. Fernando Arevalo
Keyword(s):  
African American ◽  
Laser Photocoagulation ◽  
African American Woman ◽  
American Woman ◽  
Vitreous Hemorrhage ◽  
Retinal Ischemia ◽  
Retinal Neovascularization ◽  
Clinical Spectrum

We report a case of peripheral retinal neovascularization and vitreous hemorrhage in the setting of HIV retinopathy that can serve to extend the clinical spectrum of this condition. A 53-year-old African-American woman with AIDS was referred for decreased vision in the left eye and was found to have peripheral retinal neovascularization and vitreous hemorrhage. She had a workup that was negative for etiologies of retinal ischemia. Peripheral laser photocoagulation was used to treat areas of nonperfusion. To our knowledge, this is the first reported case of peripheral retinal neovascularization and vitreous hemorrhage in the setting of HIV retinopathy, and it can serve to extend the clinical spectrum of this condition.

scholarly journals A Case of a Laryngeal MALT Lymphoma in a Patient with a History of Gastric MALT

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Mark Ashamalla ◽  
Marita S. Teng ◽  
Joshua Brody ◽  
Elizabeth Demicco ◽  
Rahul Parikh ◽  
...  
Keyword(s):  
African American ◽  
Malt Lymphoma ◽  
African American Woman ◽  
American Woman ◽  
Complete Response ◽  
Gastric Malt Lymphoma ◽  
Rare Presentation ◽  
Original Diagnosis ◽  
History Of ◽  
Previously Treated

We are reporting a case of a 62-year-old African American woman with a history of gastric MALT lymphoma successfully treated with radiation who presented with a laryngeal MALT lymphoma 4 years after her original diagnosis. She received definitive radiation with a complete response. The case presented is unique for the rare presentation of a MALT lymphoma in the larynx, especially in light of the patient’s previously treated gastric MALT lymphoma years ago.

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