Overlap myositis (OM) associated with Sjögren’s syndrome (SS) is a relatively uncommon disorder. It is more difficult to detect OM when a patient had not been previously diagnosed with SS. We report a case of OM associated SS that initially presented with dysphagia followed by proximal weakness. If proximal muscle weakness is preceded by dysphagia, the possibility of OM associated with connective-tissue disease should be considered.

Dysphagia consequent to neurologic diseases may be diverse depending on the nature and symptoms of the diseases. The initial step in the management of dysphagia would be systematic and through evaluation of swallowing function in both oral and pharyngo-laryngeal stages. Other important step might be to acquire knowledge on underlying neurologic disorder and its possible impact on swallowing. Specific indirect and direct management strategies that can be applied to specific impairments are presented.