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Pyloric stenosis in a patient with progressive systemic sclerosis

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Summary

A 64-year-old Japanese woman with progressive systemic sclerosis (PSS) who developed severe pyloric stenosis is described. The conservative treatments brought only the temporary symptomatic relief, and pyloroplasty became necessary. No ulcerative lesions or tumors were found in the resected stomach or duodenum specimens implicated for stenosis. The histological examinations revealed edema and replacement fibrosis in the pyloric ring. The possible mechanisms of pyloric stenosis are discussed.

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References

  1. Medsger, T.A. Systemic sclerosis (Scleroderma), Eosinophilic Fasciitis, and Calcinosis. In: Arthritis and Allied Conditions, 10th ed., Editor: McCarty, D.J. Jr., Philadelphia, Lea & Febiger, 1985, 994–1036.

    Google Scholar 

  2. Poirier, T.J., Rankin, G.B. Gastrointestinal manifestation of progressive systemic scleroderma based on a review of 364 cases. Am J Gastroenterol 1972, 58, 30–44.

    PubMed  Google Scholar 

  3. Turner, T., Lipshutz, W., Miller, W., Rittenberg, G., Schumacher, H.R., Cohen, S.G. Esophageal dysfunction in collagen disease. Am J Med Sci 1973, 265, 191–199.

    PubMed  Google Scholar 

  4. Cohen, S., Fisher, R., Lipshutz, W., Turner, R., Myers, A., Schumacher, R. The pathogenesis of esophageal dysfunction in scleroderma and Raynaud's disease. J Clin Invest 1972, 51, 2663–2668.

    PubMed  Google Scholar 

  5. Tuffanelli, D.L., Winkelmann, R.K. Systemic scleroderma: a clinical study of 727 cases. Arch Derm 1961, 84, 359–371.

    PubMed  Google Scholar 

  6. Sackner, M.A. Scleroderma. In: Modern Medical Monographs, Vol. 26, Editor: Wright, I.S., New York and London, Grune & Stratton, 1966, 43–75.

    Google Scholar 

  7. Peachey, R.D.G., Creamer, B., Pierce, J.W. Sclerodermatous involvement of the stomach and the small and large bowel. Gut 1969, 10, 285–292.

    PubMed  Google Scholar 

  8. Walker, C. Gastric Outlet Obstruction (Pyloric Stenosis). In: Gastrointestinal Disease, 3rd ed., Editor: Sleisenger, M.H., Fordtran, J.S., Philadelphia, W. B. Saunders Company, 1983, 731–735.

    Google Scholar 

  9. Hosoda, Y. Annual Report of the Study Group on Progressive Systemic Sclerosis and Polydermatomyositis. Ministry of Health and Welfare, Japanese Government, 1974, pp 43–45.

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Hirakata, M., Akizuki, M., Okano, Y. et al. Pyloric stenosis in a patient with progressive systemic sclerosis. Clin Rheumatol 7, 394–397 (1988). https://doi.org/10.1007/BF02239199

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  • DOI: https://doi.org/10.1007/BF02239199

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