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DOI: 10.1055/s-0039-3401008
All in Your Mind? New-Onset Dysphagia in a Previously Healthy Adolescent Child
Funding No funding was secured for this study. The authors have no financial relationships relevant to this article to disclosePublikationsverlauf
03. September 2019
03. November 2019
Publikationsdatum:
05. Dezember 2019 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00029029/202002/lookinside/thumbnails/10-1055-s-0039-3401008_1900058-1.jpg)
Abstract
A healthy 11-year-old male develops fear of choking secondary to progressive dysphagia that began in early childhood. No organic cause is found, and the patient is diagnosed with psychiatric oral aversion. The child is eventually transferred to a psychiatric facility, where a month later he has a possible aspiration event and is transferred to the local emergency room for respiratory distress before being admitted to the intensive care unit. Workup is notable for abnormal findings on brain imaging, and the diagnosis of Alexander's disease is made. This case highlights the importance of complete history-taking and examinations in pediatric patients.
Authors' Contribution
This report was conceived by J.S. and D.W., with data collection, chart review, and literature review performed by J.S. The manuscript was written by J.S., with critical review by D.W. Both the authors approved the final manuscript and agree to be accountable for all aspects of the work.
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