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SYSTEMIC SCLEROSIS-GI

Rheumatology

SYSTEMIC SCLEROSIS-GI

1. Diffuse SSC - wide-mouthed diverticula.

2. Limited SSC - eusophageal dysmotility.

3. Both types - gastroparesis, GORD, chronic esophagitis, strictures, Barrett disease, dysphagia, pseudo-obstruction, malabsorption.

4. Mucosal telangiectasias may be present throughout the GIT. Telangiectasias in the stomach can lead to bleeding and iron-deficiency anemia. This syndrome is called gastric antral vascular ectasia (GAVE).

5. Treat with PPI and prokinetics such as erythromycin.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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