[Acrocyanosis: crucial symptom in a case of chronic diarrhea and weight loss].
The patient reported here was admitted because of severe dehydration caused by watery diarrhea. As underlying disease we found bacterial overgrowth of the small bowel due to myopathic dysmotility of the small bowel as a manifestation of CREST syndrome. An important clue to the diagnosis was the result of a ward round: the patient showed Raynaud's phenomenon when exposed to the cold at an open window airing the room. A leading tool for diagnosis and therapy proved to be small bowel manometry which is further discussed in this case report.
Hackelsberger
N
N
Abteilung für Gastroenterologie und Hepatologie, Städtisches Krankenhaus München-Bogenhausen, München. drg@khbogenhausen.de
Schmidt
T
T
Stein
A
A
Schepp
W
W
D000368:Aged; D017675:CREST Syndrome / Q000150:complications* / Q000175:diagnosis*; D002908:Chronic Disease; D003490:Cyanosis / Q000175:diagnosis*; D003681:Dehydration / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D005385:Fingers / Q000098:blood supply; D006801:Humans; D008297:Male; D008365:Manometry / Q000379:methods; D011928:Raynaud Disease / Q000150:complications / Q000175:diagnosis*; D003969:Vipoma / Q000175:diagnosis / Q000209:etiology*; D015431:Weight Loss