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Four elderly patients with inclusion body myositis and dysphagia are described.Dysphagia was the presenting symptoms in three,preceding generalised weakness by 1.5 to 7 years.Myotomy of the cricopharyngeal muscle improved the symptoms and signs in 3 of the 4 patients.It is suggested that inclusion body myositis is not an infrequent cause of dysphagia in elderly people,and is amenable to treatment. |
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