Serum ferritin: A hidden gem for diagnosing plummer vinson syndrome


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Article type :

Original Article

Author :

P Karthikeyan, K Rasmika

Volume :

4

Issue :

4

Abstract :

Background: Plummer-Vinson syndrome (PVS) is a triad of dysphagia, iron deficiency anemia and upper esophageal web. Early diagnosis with adequate treatment is necessary to prevent its malignant transformation. Aim: To represent different clinical pictures of PVS and to evaluate the treatment outcome and determine its prevalence. Materials and Methods: This is a descriptive study with study population of 267 patients with dysphagia and 40 had PVS. Post cricoid webs were dilated and post-operative iron correction was done. Patients are on regular follow up. Results: Analysis showed highest incidence in females with dysphagia being the main presenting complaint in all the patients. All had iron deficiency and 90% of patients had post cricoid web. Conclusion: PVS is a precancerous condition. Serum ferritin should be the preferred parameter for diagnosing iron deficiency anemia. Regular follow up is warranted to prevent malignant progression.  

Keyword :

Plummer vinson syndrome, Iron deficiency anemia, Serum ferritin, Malignancy
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