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Progressive Systemic Sclerosis in Which the Patient Died from Massive Melena Due to Multiple Ulcers in the Small Intestine, Report of a Case Atsuo Matsunaga 1 , Fukuji Mochizuki 1 , Masao Ando 1 , Takashi Sawai 2 1Department of Gastroenterology, Sendai City Medical Center 2Department of Pathology, Tohoku University, School of Medicine Keyword: 進行性全身性強皮症 , PSS , 壊死性血管炎 , 虚血性腸炎 , 小腸潰瘍 , 下血 pp.1266-1270
Published Date 1991/11/25
DOI https://doi.org/10.11477/mf.1403102689
  • Abstract
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 In this report, we described a patient with progressive systemic sclerosis (PSS) who died from massive melena due to multiple ulcers in the small intestine. This patient was a 39-year-old woman. She had polyarthralgla since 13 years before and was treated in a private clinic. Sclerodactylia, digital pitting scars, bibasilar pulmonary fibrosis had gradually developed. She was admitted to our hospital because of upper abdominal pain, loss of appetite, disphagia and watery diarrhea.

 On the 25th hospital day, she fell into shock suddenly and died from massive melena. In the autopsy, necrotizing arteritis was found in the gastrointestinal tract and other organs. Multiple ulcers with necrotizing arteritis was found in the small intestine.


Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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