A number of psychiatric conditions, including panic disorder, obsessive-compulsive disorder, social phobia, anorexia nervosa, globus hystericus
, hypersensitive gag reflex, and posttraumatic stress disorder can simulate this condition.
The patient was erroneously diagnosed as having globus hystericus
and presented ten months later with a similar picture associated with sudden onset dysphagia.
Recently, a 32-year-old, 4-foot-10, 95-pound woman presented with a history of sexual abuse, loss of both parents, very stressed mother during pregnancy, on disability with complex regional pain syndrome (CRPS), fibromyalgia, and multiple drug regimen failure, asthma, globus hystericus
, gastroparesis, and gastritis.
(10) Other conditions that should be considered in the differential diagnosis are Zenker diverticulum, laryngocele, esophageal diverticulum, an artificial pouch, cricopharyngeal spasm, foreign body, neurologic disease, myopathies, and globus hystericus
. Although LPD is rare, it should be considered in the differential diagnosis of dysphagia and hoarseness.
More often than not this is simply a globus pharyngeus (it used to be known as a globus hystericus
because of its connection with an emotional response).
The purpose of this article is to describe hypnobehavioral treatment of five school-age children with maladaptive eating behaviors, including functional dysphagia, food aversion, globus hystericus
, and conditioned fear of eating (phagophobia).
"They are more likely to call it generalized anxiety disorder, obsessive-compulsive disorder, or a swallowing problem like globus hystericus
, without addressing the fact that the person has an eating disorder."
It is the globus hystericus
, the inability to speak, the central, determining symptom of hysteria, a feminizing illness, that marks these Jewish males as ill' (70).