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Giornale Italiano di Dermatologia e Venereologia 2000 June;135(3):367-9

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

Disabling pansclerotic morphea in a girl patient. Association with small bowel vascular changes

Menni S., Boccardi D.

Università degli Studi - Milano Istituto di Scienze Dermatologiche IRCCS - Ospedale Maggiore - Milano


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A 16 year-old girl, with “disabling pansclerotic morphea”, presented recurrent intestinal bleeding. The patient, at the age of eleven, was suffering from severe musculo-skeletal atrophy of the left arm with severe sclerosis, and mild cutaneous sclerosis of the upper thorax and right forearm. Only mesenteric angiography showed telangiectasias of jejunum circulation. After a transfusion the patient was treated with progesterone/oestrogen combination with good result. “Disabling pansclerotic morphea” is usually associated with mild, non progressive visceral changes. Vascular ectasias is described only in systemic sclerosis and rarely in small bowel.

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