Abstract
Patients with gastroesophageal reflux may have extra-esophageal manifestations. We report a 46 years old ex-smoker woman presenting with a sensation of burning mouth, xerostomia and glossitis. The patient had a history of heartburn, dysphonia and cough. Mouth examination showed a bad hygiene and abundant accumulation of plaque. Esophageal pH measurement was abnormal. Laryngoscopy showed a posterior laryngeal inflammation and mucous secretion. With these data, a diagnosis of gastroesophageal reflux was reached.
Highlights
Patients with gastroesophageal reflux may have extra-esophageal manifestations
There is a close correlation between Gastro-esophageal reflux disease (GERD) and oral cavity diseases as it is recognized by gastroenterologists and other specialists[7]
In 1933, Bodecker noted a relationship between gastrointestinal alterations and dental erosion; his thought was shared by Bargen and Austin in 1937 and two years later by Holst and Lange[12,13,14]
Summary
Patients with gastroesophageal reflux may have extra-esophageal manifestations. Laryngoscopy showed a posterior laryngeal inflammation and mucous secretion. With these data, a diagnosis of gastroesophageal reflux was reached. Symptoms of GERD could affect various tissues and organ systems beyond the esophagus: they represent the so called “extraesophageal manifestations” that include atypical chest pain that can simulate angina pectoris; ear, nose, and throat (ENT) manifestations such as globus sensation, laryngitis; pulmonary problems such as chronic cough, asthma, pulmonary aspiration and sleep apnoea[4]. Classic reflux symptoms may be absent in more than half the patients presenting with extraesophageal symptoms For this reason, the first provisional diagnosis of GERD may be made by a dental practitioner as a result of clinical observation
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