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Assessment of oropharyngeal dysphagia in patients with rheumatoid arthritis
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Assessment of oropharyngeal dysphagia in patients with rheumatoid arthritis
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Assessment of oropharyngeal dysphagia in patients with rheumatoid arthritis
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Journal Article
Assessment of oropharyngeal dysphagia in patients with rheumatoid arthritis
2025
Overview
Objectives
Patients with rheumatoid arthritis (RA) frequently experience dysphagia but limited studies analyzed it. This study aimed to assess swallowing in RA patients by Fiber optic Endoscopic Evaluation of Swallowing (FEES).
Methods
It was a cross-sectional study that included 30 patients diagnosed with RA and complaining of dysphagia. All patients were subjected to patient interviews and bedside swallowing screening and examined by FEES using different food consistencies: thin fluids, 5 mL and 10 mL, semisolids, and solids. The Mansoura Fiberoptic Endoscopic Evaluation of Swallowing Residue Rating Scale (MFRRS) and the 8-point penetration-aspiration scales were used to interpret FEES findings and assess swallowing efficiency and swallowing safety.
Results
The most reported symptoms were foreign body sensation (90.0%), xerostomia (80.0%), chewing problems (76.7%), teeth problems (70.0%), and self-feeding difficulty (53.3%). Most of these patients reported changing eating habits like using fluids with solids (73.3%) and increasing their meal time (60%). All patients had negative bedside swallowing screening. FEES revealed that the anatomy and the physiology of swallowing were normal, the larynx was normal, and MFRRS revealed that most of the patients had no residue for different food consistencies. No penetration or aspiration was detected in the thirty patients.
Conclusion
Data obtained from the study not only provided compelling evidence regarding the high prevalence of current swallowing disorders among individuals diagnosed with rheumatoid arthritis but also confirmed the importance of direct assessment and the need of more concern regarding dysphagia related to RA.
