Plummer-Vinson syndrome history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Obtaining a history gives important information in making a diagnosis of Plummer-Vinson syndrome. Complete history should be obtained regarding onset, duration, and progression of symptoms such as dysphagia (solids or liquids), weakness, fatigue, dyspnea, and history of choking spells or aspiration.

History

History

Obtaining a history gives important information in making a diagnosis of Plummer-Vinson syndrome. It provides an insight into the cause, precipitating factors, and associated comorbid conditions. A complete history will help determine the correct therapy and helps in determining the prognosis. The areas of focus should be on onset, duration, and progression of symptoms such as:

• Dysphagia (solids or liquids)
• Weakness and fatigue
• Dyspnea
• Weight loss
• Any history of choking spells or aspiration
• Any history of bleeding disorders

Symptoms

Common Symptoms

• Dysphagia (more for solids)
• Weakness
• Pain
• Burning sensation in mouth
• Dry tongue
• Painful cracks in the angles of a dry mouth
• Pale color of the skin

Less Common Symptoms

• Cold intolerance
• Reduced resistance to infection
• Altered behavior
• Craving for for unusual items (such as ice or cold vegetables)