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Skin signs of gastrointestinal disease1

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Presentation on theme: "Skin signs of gastrointestinal disease1"— Presentation transcript:

1 Skin signs of gastrointestinal disease1
Irwin M. Braverman  Gastroenterology  Volume 124, Issue 6, Pages (May 2003) DOI: /S (03)

2 Figure 1 Telangiectases appeared after the patient had been given a transfusion. Gastroenterology  , DOI: ( /S (03) )

3 Figure 2 HHT. Telangiectases composed of branching vessels that can be made more visible by stretching the lip. Gastroenterology  , DOI: ( /S (03) )

4 Figure 3 Kaposi sarcoma. Characteristic plaques on sole. Typical nodules on legs and ankle. Gastroenterology  , DOI: ( /S (03) )

5 Figure 4 Kaposi sarcoma. Involvement in the mouth.
Gastroenterology  , DOI: ( /S (03) )

6 Figure 5 Leukocytoclastic vasculitis. Palpable purpura producing oval lesions and polycyclic lesions through confluence. Gastroenterology  , DOI: ( /S (03) )

7 Figure 6 Pseudoxanthoma elasticum. Yellow papules and plaques on the neck simulating plucked chicken skin. Gastroenterology  , DOI: ( /S (03) )

8 Figure 7 Reticulated pigmentation on perineum of woman with familial polyposis. Reprinted with permission.31 Gastroenterology  , DOI: ( /S (03) )

9 Figure 8 Congenital hypertrophy of the retinal pigment epithelium. Two oval black lesions are present. Reprinted with permission.16 Gastroenterology  , DOI: ( /S (03) )

10 Figure 9 Peutz-Jeghers syndrome. Typical perioral pigmentation.
Gastroenterology  , DOI: ( /S (03) )

11 Figure 10 CRST syndrome. Telangiectatic mats on lips and tongue. Branching vessels are not seen in these lesions. Gastroenterology  , DOI: ( /S (03) )

12 Figure 11 CRST syndrome. Telangiectatic mats have discrete borders and varying shapes. Gastroenterology  , DOI: ( /S (03) )

13 Figure 12 Dermatomyositis. Cuticular erythema with discrete linear telangiectases and flat-topped papules over joints (Gottron’s sign). Gastroenterology  , DOI: ( /S (03) )

14 Figure 13 Scleroderma. Linear telangiectasia is present on the nailfold without erythema. Gastroenterology  , DOI: ( /S (03) )

15 Figure 14 Epidermolysis bullosa. Characteristic appearance of bullae. Reprinted with permission.31 Gastroenterology  , DOI: ( /S (03) )

16 Figure 15 Urticaria pigmentosa. Reddish-brown freckle-like lesions are characteristic of the adult form of mastocytosis. Gastroenterology  , DOI: ( /S (03) )

17 Figure 16 Acanthosis nigricans.
Gastroenterology  , DOI: ( /S (03) )

18 Figure 17 Acanthosis nigricans involving the palms. A honeycomb appearance is produced by the thickened skin. Gastroenterology  , DOI: ( /S (03) )

19 Figure 18 Degos’ disease. Typical lesions. Telangiectasia on periphery of porcelain white macules. Reprinted with permission.31 Gastroenterology  , DOI: ( /S (03) )

20 Figure 19 Acrodermatitis enteropathica in a 12-week-old infant. Typical periorificial eruption. Gastroenterology  , DOI: ( /S (03) )

21 Figure 20 Acrodermatitis enteropathica. Perineal involvement in the 12-week-old infant shown in Figure 19. Gastroenterology  , DOI: ( /S (03) )

22 Figure 21 Pyoderma gangrenosum. Fully developed lesion with pustular undermined necrotic border. Gastroenterology  , DOI: ( /S (03) )

23 Figure 22 Ulcerative colitis. Ulcerating erythematous plaque. Reprinted with permission.31 Gastroenterology  , DOI: ( /S (03) )

24 Figure 23 Ulcerative colitis. Gangrene of fingertips secondary to hypercoagulable state. Gastroenterology  , DOI: ( /S (03) )

25 Figure 24 Crohn’s disease. Red swollen fleshy nodules produced by inflammation in the anal Morgagni’s crypts. Reprinted with permission.31 Gastroenterology  , DOI: ( /S (03) )

26 Figure 25 Dermatitis herpetiformis. Clusters of vesicles on erythematous base. Gastroenterology  , DOI: ( /S (03) )

27 Figure 26 Migratory necrolytic erythema in a patient with glucagonoma. There are colarettes of scale around expanding borders. Gastroenterology  , DOI: ( /S (03) )


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