Serum ferritin: A hidden gem for diagnosing plummer vinson syndrome

Authors : P Karthikeyan, K Rasmika

DOI : 10.18231/j.ijoas.2021.026

Volume : 4

Issue : 4

Year : 2021

Page No : 130-133

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.
 

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


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