40 year old with koilonychia, iron deficiency and dysphagia, Diagnosis is
Plummer Winson syndrome Classical Features: Dysphagia Iron Deficiency Anaemia Glossitis Angular Stomatitis Koilonychia Achlorhydria Atrophy of mucous membrane of the alimentary canal Predominantly affects females past 40 years Predisposes to development of carcinoma in - Tongue, Buccal mucosa, Pharynx, Esophagus, Stomach. (Ref: Textbook of diseases of ENT, PL Dhingra, 7th edition, pg no. 388)
Plummer Vinson syndrome
Achalasia cardia
ZES
None
Oral cavity & Oesophagus