复发性双侧眼睑下垂患者发生吞咽困难1例

Question: An 85-year-old man presented with worsening of dysphagia. The symptoms had started 4 years earlier affecting first solid foods and progressively liquid intake. The patient had lost 16 kg over the past year. He had a long-standing depressive disorder treated with a tetracyclic antidepressant and a selective serotonin reuptake enhancer drug. His past medical history also comprised arecurrentbilateraleyelidptosis. Ptosis was not present at age 45 (FigureA) and appeared during the sixth decade. Although the patient had bilateral surgical repairs at ages 69 and 73, eyelidptosis was still present at age 85 (FigureB). Physical examination and laboratory tests were otherwise not remarkable