Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar

GET THE APP

Overlap Syndrome (Systemic Sclerosis and Rheumatoid Arthritis) with Achalasia: An Unusual Association | OMICS International | Abstract
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report

Overlap Syndrome (Systemic Sclerosis and Rheumatoid Arthritis) with Achalasia: An Unusual Association

Daniel Ruiz-Romero*, Alicia Sofia Villar-Chavez, Miguel Angel Valdovinos-Diaz and Enrique Coss-Adame

The National Autonomous University of Mexico, Mexico

*Corresponding Author:
Dr. Daniel Ruiz Romero
Specialist in Internal Medicine
The National Autonomous University of Mexico
Mexico
Tel: 525570342850
E-mail: daniel_ruizch@hotmail.com

Rec date: Feb 24, 2016; Acc date: May 5, 2016; Pub date: May 12, 2016

Citation: Ruiz-Romero, Villar-Chavez, Valdovinos-Diaz, Coss-Adame (2016) Overlap Syndrome (Systemic Sclerosis and Rheumatoid Arthritis) with Achalasia: An Unusual Association. J Gastrointest Dig Syst 6: 426. doi:10.4172/2161-069X.1000426

Copyright: © 2016 Ruiz-Romero D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Both patients with achalasia and systemic sclerosis can complain of esophageal dysphagia. Esophageal manometer remains the most accurate method to evaluate esophageal dismotility. The association of achalasia and systemic sclerosis as an overlap syndrome has not been described yet. This entity could be possibly based on common autoimmune mechanisms and an analogous pathogenesis explained mainly by viral association.

Keywords

Top