Gastric bleeding in pseudoxanthoma elasticum.
We report a case of pseudoxanthoma elasticum and gastrointestinal bleeding, and document the degenerative changes of the gastric arterioles occurring over a 26-yr period. In addition to the internal elastic lamellar degeneration and dystrophic calcification, we describe the presence, ultrastructurally, of an abnormal collagen fiber. These degenerative changes in the gastric vascular bed can be a direct cause of gastrointestinal bleeding.
Kundrotas
L
L
Department of Medicine, School of Medicine, SUNYAB, Buffalo.
Novak
J
J
Kremzier
J
J
Meenaghan
M
M
Hassett
J
J
D005743:Gastrectomy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008854:Microscopy, Electron; D008875:Middle Aged; D011561:Pseudoxanthoma Elasticum / Q000150:complications* / Q000473:pathology; D012008:Recurrence; D012086:Reoperation; D013272:Stomach Diseases / Q000209:etiology*; D013276:Stomach Ulcer / Q000473:pathology; D013997:Time Factors