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U Shimada, Y Takahashi, Y Mine, M Suzuki, K Kondo, Y Ikenouchi, G A Deshpande, T Naito, Eagle syndrome: revealed by the background disease, QJM: An International Journal of Medicine, Volume 117, Issue 11, November 2024, Pages 809–810, https://doi.org/10.1093/qjmed/hcae142
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Case presentation
A 40-year-old Japanese man with a history of bronchial asthma and atopic dermatitis presented to our outpatient clinic with severe right neck pain on coughing. The patient's asthma control had worsened over the past 4 months, and at the same time, the patient noticed a sharp pain (foreign body sensation) in his right neck area when he ate or coughed, feeling as if a fish bone was stuck in his throat. Though transient and fleeting, the pain was severe with a Numerical Rating Scale of 9 out of 10. The patient denied any history of either trauma or surgery including tonsillectomy.
Vital signs were within normal limits. Physical examination revealed scattered eczematous lesions on the face consistent with atopic dermatitis. The oropharynx was moist without swelling or redness. There was no carotidynia or other tenderness on the right side of the neck, no lymphadenopathy in the anterior or posterior cervical areas, and no thyromegaly. A non-enhanced CT scan revealed a 3.3 cm elongated right temporal styloid process compared with a 2.7 cm left styloid process (Figure 1).
