[Should watermelon stomach be considered to be an unrecognized localization of scleroderma?].
We reported a typical case of watermelon stomach which occurred during the course of a limited cutaneous systemic sclerosis. Watermelon stomach is an important source of upper gastrointestinal bleeding which requires endoscopic treatment. Such an association has already been described and we suggest that watermelon stomach could be an unrecognized localization of scleroderma stomach involvement. Because gut involvement may precede skin manifestations. A search of progressive systemic sclerosis should be done with clinical examination, antinuclear antibodies research (especially anticentromere antibodies) and nailfold capillaroscopy when a such endoscopic appearance is noted.
Marie
I
I
Département de Médecine Interne. CHU Rouen-Boisguillaume.
Cailleux
N
N
Hochain
P
P
François
A
A
Metayer
J
J
Levesque
H
H
Courtois
H
H
D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011706:Pyloric Antrum / Q000098:blood supply; D012595:Scleroderma, Systemic / Q000150:complications* / Q000473:pathology; D014652:Vascular Diseases / Q000209:etiology* / Q000473:pathology
Doit-on considérer l'estomac pastèque comme une localisation méconnue de la sclérodermie?