Rapidly Progressive Plummer Vinson Syndrome

A 47-year-old African American female with a history of hypertension presented to the emergency room with dysphagia. Over a period of two weeks, the patient first noticed difficulty swallowing large chunks of food followed shortly by trouble swallowing liquids. She described pain in her oropharynx with eating and regurgitated both solids and liquids every time she ate. She had lost 10 pounds over two weeks and described a new craving for ice (pagophagia). Review of systems was otherwise negative. She denied chest pain, dyspnea, abdominal pain, hematemesis, and had no history of Gastroesophageal Reflux Disease (GERD). Physical exam was unremarkable. There was no evidence of glossitis, angular cheilitis, or spooning of the nail beds (koilonychia). Received: May 01, 2017; Accepted: May 11, 2017; Published: May 17, 2017 Abstract