Schatzki-ring unter dem bild eines anaphylaktoiden glottis-odems

Episodic dysphagia and dyspnea of breath after food intake can be the clinical presentation of a so-called Schatzki ring, which is a thin mucous membrane ring in the lower esophagus. We present the case of a patient in whom the symptoms of a Schatzki ring were mistaken for an anaphylactic glottis edema caused by unidentified food or additives. Repeatedly and as it seemed successfully, the patient had been treated with corticosteroids and antihistamines for acute attacks. Over the years the unclear complaints led to a considerable restriction of the patients diet, made her feel socially insecure, and consequently considerably reduced quality of her life. The Schatzki ring is diagnosed with X-ray or endoscopy, but had not been diagnosed when a gastroscopy was performed in the previous year. The patient was cured after the ring had been gastroscopically torn.