Skin signs of gastrointestinal disease1

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Skin signs of gastrointestinal disease1 Irwin M. Braverman  Gastroenterology  Volume 124, Issue 6, Pages 1595-1614 (May 2003) DOI: 10.1016/S0016-5085(03)00327-5

Figure 1 Telangiectases appeared after the patient had been given a transfusion. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 2 HHT. Telangiectases composed of branching vessels that can be made more visible by stretching the lip. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 3 Kaposi sarcoma. Characteristic plaques on sole. Typical nodules on legs and ankle. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 4 Kaposi sarcoma. Involvement in the mouth. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 5 Leukocytoclastic vasculitis. Palpable purpura producing oval lesions and polycyclic lesions through confluence. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 6 Pseudoxanthoma elasticum. Yellow papules and plaques on the neck simulating plucked chicken skin. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 7 Reticulated pigmentation on perineum of woman with familial polyposis. Reprinted with permission.31 Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 8 Congenital hypertrophy of the retinal pigment epithelium. Two oval black lesions are present. Reprinted with permission.16 Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 9 Peutz-Jeghers syndrome. Typical perioral pigmentation. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 10 CRST syndrome. Telangiectatic mats on lips and tongue. Branching vessels are not seen in these lesions. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 11 CRST syndrome. Telangiectatic mats have discrete borders and varying shapes. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 12 Dermatomyositis. Cuticular erythema with discrete linear telangiectases and flat-topped papules over joints (Gottron’s sign). Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 13 Scleroderma. Linear telangiectasia is present on the nailfold without erythema. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 14 Epidermolysis bullosa. Characteristic appearance of bullae. Reprinted with permission.31 Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 15 Urticaria pigmentosa. Reddish-brown freckle-like lesions are characteristic of the adult form of mastocytosis. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 16 Acanthosis nigricans. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 17 Acanthosis nigricans involving the palms. A honeycomb appearance is produced by the thickened skin. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 18 Degos’ disease. Typical lesions. Telangiectasia on periphery of porcelain white macules. Reprinted with permission.31 Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 19 Acrodermatitis enteropathica in a 12-week-old infant. Typical periorificial eruption. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 20 Acrodermatitis enteropathica. Perineal involvement in the 12-week-old infant shown in Figure 19. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 21 Pyoderma gangrenosum. Fully developed lesion with pustular undermined necrotic border. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 22 Ulcerative colitis. Ulcerating erythematous plaque. Reprinted with permission.31 Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 23 Ulcerative colitis. Gangrene of fingertips secondary to hypercoagulable state. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 24 Crohn’s disease. Red swollen fleshy nodules produced by inflammation in the anal Morgagni’s crypts. Reprinted with permission.31 Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 25 Dermatitis herpetiformis. Clusters of vesicles on erythematous base. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)

Figure 26 Migratory necrolytic erythema in a patient with glucagonoma. There are colarettes of scale around expanding borders. Gastroenterology 2003 124, 1595-1614DOI: (10.1016/S0016-5085(03)00327-5)