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