An Unusual Presentation of Dysphagia in a Young Male with Myositis

Abstract

Dysphagia is a rare presentation in patients with viral myositis and only 10%-20% of patients with myositis developed weakness of oropharyngeal, laryngeal, and oesophageal musculature that leads to impairment in the oropharyngeal phase of swallowing. The proper mechanism of dysphagia in patients with myositis remains unclear and it is thought to be due to impaired muscle contrac- tions and decreased hyo-laryngeal excursion that leads to impaired relaxation of the upper oesophageal sphincter. Delayed treat- ment, bulbar involvement, respiratory involvement, old age, and occurrence of malignancy are associated with poor prognosis.

Here we are describing a case of a 25-year-old gentleman who presented with fever, myalgia, and dark-colored urine, who was diagnosed as viral myositis with dysphagia, and a holistic approach in the management of the disease.