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


==Overview==
==Physical Examination==
==Physical Examination==
The condition is associated with [[koilonychia]], [[glossitis]], [[cheilitis]], and [[splenomegaly]].
Physical examination of patients with Plummer-Vinson syndrome is usually remarkable for [[glossitis]], [[esophageal webs]] or [[Esophageal stricture|strictures]], and [[dysphagia]]. Other findings on physical examination include:<ref name="pmid7575056">{{cite journal |vauthors=Hoffman RM, Jaffe PE |title=Plummer-Vinson syndrome. A case report and literature review |journal=Arch. Intern. Med. |volume=155 |issue=18 |pages=2008–11 |year=1995 |pmid=7575056 |doi= |url=}}</ref><ref name="pmid10505167">{{cite journal |vauthors=Mansell NJ, Jani P, Bailey CM |title=Plummer-Vinson syndrome--a rare presentation in a child |journal=J Laryngol Otol |volume=113 |issue=5 |pages=475–6 |year=1999 |pmid=10505167 |doi= |url=}}</ref><ref name="pmid10549778">{{cite journal |vauthors=Anthony R, Sood S, Strachan DR, Fenwick JD |title=A case of Plummer-Vinson syndrome in childhood |journal=J. Pediatr. Surg. |volume=34 |issue=10 |pages=1570–2 |year=1999 |pmid=10549778 |doi= |url=}}</ref><ref name="pmid11753173">{{cite journal |vauthors=López Rodríguez MJ, Robledo Andrés P, Amarilla Jiménez A, Roncero Maíllo M, López Lafuente A, Arroyo Carrera I |title=Sideropenic dysphagia in an adolescent |journal=J. Pediatr. Gastroenterol. Nutr. |volume=34 |issue=1 |pages=87–90 |year=2002 |pmid=11753173 |doi= |url=}}</ref><ref name="pmid4449772">{{cite journal |vauthors=Chisholm M |title=The association between webs, iron and post-cricoid carcinoma |journal=Postgrad Med J |volume=50 |issue=582 |pages=215–9 |year=1974 |pmid=4449772 |pmc=2495558 |doi= |url=}}</ref><ref name="pmid1192404">{{cite journal |vauthors=Larsson LG, Sandström A, Westling P |title=Relationship of Plummer-Vinson disease to cancer of the upper alimentary tract in Sweden |journal=Cancer Res. |volume=35 |issue=11 Pt. 2 |pages=3308–16 |year=1975 |pmid=1192404 |doi= |url=}}</ref><ref name="pmid22843759">{{cite journal |vauthors=Phatak S, Redkar N, Patil MA, Kuwar A |title=Plummer-Vinson syndrome |journal=BMJ Case Rep |volume=2012 |issue= |pages= |year=2012 |pmid=22843759 |pmc=4543800 |doi=10.1136/bcr-2012-006403 |url=}}</ref>
===Appearance of the Patient===
*Patients with Plummer-Vinson syndrome usually appear [[Fatigue|fatigued]]
 
===Vital Signs===
*[[Hypothermia]] may be present
*[[Tachycardia]]
*Normal to [[low blood pressure]] with normal [[pulse pressure]]
 
===Skin===
*Pale skin color ([[Pallor]])
*Blue-tinged or very pale whites of eyes
 
===HEENT===
*[[Stomatitis]]
*[[Glossitis]]
*[[Cheilitis]]
*Atrophy of [[lingual]] papillae
*Upper [[esophageal web]] or [[Esophageal stricture|strictures]] on [[laryngoscopy]]
 
===Neck===
[[Odynophagia]]
 
===Heart===
*[[S1]]/[[S2]] normal. Additional heart sound such as [[S3]] may be heard in patients with high output [[heart failure]]
 
===Abdomen===
*[[Splenomegaly]] (33%)
*[[Achlorhydria]]
 
===Neuromuscular===
*Patient is usually oriented to time, place and person
 
===Extremities===
*[[Koilonychia]]
*[[Brittle nails]]


==References==
==References==

Latest revision as of 07:03, 2 February 2019

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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.
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