BREAKING THE WEB: A CASE OF PLUMMER VINSON SYNDROME IN THE PHILIPPINES
MU Dujunco MD, JAN Pangilinan MD, JC Bocobo MD St. Luke’s Medical Center, Quezon City
Significance: Plummer Vinson syndrome (PVS) is an extremely rare disease characterized by the triad of iron deficiency anemia, dysphagia and cervical esophageal web. The most accepted possible etiology of this syndrome is iron deficiency anemia. The prevalence of anemia in third world countries is high and yet there is no published case to date of Plummer Vinson syndrome in the Philippines.
Clinical Presentation: We report a case of a 44 year old female, Filipino with two decades of iron deficiency anemia, a decade of dysphagia with a cervical esophageal web on esophagogastroduodenoscopy (EGD).
Management: After EGD with mechanical dilatation, dysphagia was resolved and patient now is able to eat a full regular meal.
She was given iron supplementation and advised annual esophagogastroduodenoscopy.
Recommendation: The triad of iron deficiency anemia, dysphagia and cervical esophageal web is Plummer Vinson syndrome which can be readily managed by iron supplementation, and esophageal dilatation. Patients need to be on annual surveillance EGD due to risk for esophageal or pharyngeal malignancy.