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Chronic pharyngitis

Chronic pharyngitis. Non specific 1- Chronic simple pharyngitis. Specific 1- Scleroma 2- Syphilis 3- Tuberculosis. Chronic pharyngitis. Etiology : 1-Recurrent acute pharyngitis 2- Mouth breathing 3- Smoking & spirits 4- GERD. Chronic simple pharyngitis. Symptoms :

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Chronic pharyngitis

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  1. Chronic pharyngitis

  2. Non specific 1- Chronic simple pharyngitis Specific 1- Scleroma 2- Syphilis 3- Tuberculosis Chronic pharyngitis

  3. Etiology : 1-Recurrent acute pharyngitis 2- Mouth breathing 3- Smoking & spirits 4- GERD Chronic simple pharyngitis

  4. Symptoms : - History of repeated attacks of sore throat - Throat irritation (hemming نحنحه&hawking تنخيم) Signs: - Catarrhal, mild hyperaemia of the pharyngeal mucosa - Hypertrophic, scattered nodules on the posterior pharyngeal wall Treatment: of the cause

  5. Chronic pharyngeo-oesophagitis Plummer Vinson's Syndrome Paterson Brown-Kelly Syndrome

  6. Answer This middle aged female presented with gradually progressive dysphagia 1- the patient is most probably suffering from PLUMMER VINSON SYNDROME. 2- you should proceed to the following investigations: A- Blood Picture (Hypochromic Anemia) B- gastric secretion (achlorohydria C- Barium Swallow (web) • This middle aged female presented with gradually progressive dysphagia 1- the patient is most probably suffering from…………. 2- you should proceed to the following investigations: A- B- koilonychia Angular Stomatitis Atrophic Glossitis

  7. Plummer-Vinson or Paterson-Kelly syndrome presents as a classical triad of dysphagia, iron-deficiency anemia and esophageal webs Age: Middle age Sex: 90% in females Etiology: Un-clear, may be • iron deficiency anemia • Vitamin deficiency • or autoimmune processes Pathology: Atrophy of : Pharyngeal Esophageal & Gastric mucosa

  8. Symptoms General Pharyngeal Weakness, fatigue, and dyspnea are Secondary to iron deficiency anemia Signs General Pharyngeal Koilonychia Spleenomegaly Pallor Angular stomatitis Glossitis Atrophic glazed mucosa of the hypopharynx Dysphagia, if present, is typically intermittent and limited to solids. It is usually felt in the throat

  9. Investigations Complications Treatment - Stricture at the cicopharyngeal Sphincter - Pre-cancerous: postcricoid carcinoma &esophageal carcinoma Blood picture:hypochromic anemia Gastric secretion: achlorohydi due to atrophy of gastric mucosa Barium swallow Hypopharyngoscopy Iron & vitamine supply Repeated endoscopic dilatation Regular follow up for early detection of postcricoid carcinoma &esophageal carcinoma Web

  10. Chronic Specific • Scleroma • Tuberculosis • Syphilis

  11. PharyngoscleromaSee Rhinoscleroma for more details Clinically • Atrophic • Nodular • Fibrotic Etilogy: Secondary to Rhinoscleroma Dry glazed mucosa Pink indurated non ulcerating , painless nodules Shortened uvula Pharyngeal Stenosis

  12. Tuberculous pharyngitis Etilogy: Secondary to Pulmonary Tuberculosis Clinically • Pallorof the mucosa • Typical ulcers Painful Superficial Shallow Undermined edge Caseous floor

  13. Syphilitic pharyngitis Single painless indurated papule Secondary : -Hyperaemic mucosa -Mucous patches -Snail track ulcers Primary:Chancre, rare in the pharynx Tertiary:Gumma Pinkish rubbery swellings --►typical ulcer Deep punched out edge Necrotic dirty yellow floor

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