Plummer-Vinson syndrome physical examination

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

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:

Appearance of the Patient

• Patients with Plummer-Vinson syndrome usually appear 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 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