Pseudoxanthoma Elasticum With Gastric Hemorrhage: Report of a Case

Case Reports1 July 1958PSEUDOXANTHOMA ELASTICUM WITH GASTRIC HEMORRHAGE: REPORT OF A CASEJOSEPH C. WOO JR., FRANK W. CHANDLERJOSEPH C. WOO JR., FRANK W. CHANDLERAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-49-1-215 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptReview of the literature fails to reveal a case similar to the one reported here of massive gastrointestinal hemorrhage occurring in a pregnant woman during her last trimester.1, 2, 3, 4, 5 The bleeding was due to pseudoxanthoma elasticum, a very rare cause of gastric hemorrhage. The patient was treated by subtotal gastric resection and subsequently delivered a full term, viable fetus.Pseudoxanthoma elasticum is the result of elastic tissue degeneration and is characterized by 1 to 5 mm. flat yellowish patches of intradermal changes with a predilection for the flexor folds (axilla, abdomen, neck, upper aspects of the thigh,...Bibliography1. Preiss E: Über Rezidivierende abundante Magendarmblutungen im letzen Monate der Schwangerschaft, Gynäk. Rundschau 1: 725-727, 1907, cited by Carangelo, J., and Efstation, T. D.4 Google Scholar2. Sturrock WD: Gastric haemorrhage and other complications in a case of childbirth, Brit. M. J. 1: 218, 1913, cited by Carangelo, J., and Efstation, T. D.4 CrossrefMedlineGoogle Scholar3. GreeleyStudenbord AVWD: Pregnancy complicated by severe gastric hemorrhage, Am. J. Obst. and Gynec. 42: 154-156, 1941. CrossrefGoogle Scholar4. CarangeloEfstation JTD: Massive gastric hemorrhage in pregnancy, Am. J. Obst. and Gynec. 56: 191-194, 1948. CrossrefMedlineGoogle Scholar5. MaxwellKendrick RHJG: Massive gastrointestinal hemorrhage in pregnancy with report of case, J. Kansas M. Soc. 51: 283-284, 1950. MedlineGoogle Scholar6. Darier J: Pseudoxanthoma elasticum, Monatsh. f. prakt. Dermat. 23: 609, 1896, cited by Wolff, H. H.14 Google Scholar7. Grönblad E: Angioid streaks—pseudoxanthoma elasticum, Acta ophth. 7: 329, 1929. Ibid. 10: Suppl. 1, 1, 1932, cited by Wolff, H. H.14 CrossrefGoogle Scholar8. Strandberg J: Pseudoxanthoma elasticum, Zentralbl. f. Haut- u. Geschlchtskr. 31: 689, 1929, cited by Wolff, H. H.14 Google Scholar9. Law FW: A contribution to the pathology of angioid streaks, Tr. Ophth. Soc. U. Kingdom 58: 191-207, 1938. Google Scholar10. ReinertsonFarber RPEM: Pseudoxanthoma elasticum with gastrointestinal bleeding, California Med. 83: 94-96, 1955. MedlineGoogle Scholar11. Prick JJ: Pontine Pseudobulbarparalyse B., Pseudoxanth. elast. Eine klinische anatomische Studie, Doctoral Treatise, Maastricht, 1938, cited by Revell and Carey.13 Google Scholar12. KaplanHartman LSW: Elastica disease, Arch. Int. Med. 94: 489-492, 1954. CrossrefGoogle Scholar13. RevellCarey STTN: Pseudoxanthoma elasticum as a disseminated disease, South. M. J. 41: 782-790, 1948. CrossrefMedlineGoogle Scholar14. WolffStokesSchlesinger HHJFBE: Vascular abnormalities associated with pseudoxanthoma elasticum, Arch. Dis. Childhood 27: 82-88, 1952. CrossrefMedlineGoogle Scholar15. BaloBanga JI: Elastolytic activity of pancreatic extracts, Biochem. J. 46: 384-387, 1950. CrossrefMedlineGoogle Scholar16. Bockus HL: Gastroenterology, Vol. III, 1946, W. B. Saunders, Philadelphia, p. 999. Google Scholar17. Cohen EB: Report of 3 cases of total gastric infarction, one case of partial infarction, Am. J. Med. 11: 645-652, 1951. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Amarillo, Texas*Received for publication September 5, 1956.From the Medical and Surgical Services, U. S. Air Force Hospital, Amarillo, Texas.The opinions and assertions contained herein are the private ones of the authors and are not to be construed as official or reflecting the views of the Air Force Department or the Air Force Service at large.Requests for reprints should be addressed to Joseph C. Woo, Jr., M.D., 1251 R Street, Fresno, California. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPregnancy and obstetrical outcomes in pseudoxanthoma elasticumDisorders of Connective TissueCutaneous extensibility in pseudo-xanthoma elasticumCLINICAL STUDIES ON A SWEDISH MATERIAL OF PSEUDOXANTHOMA ELASTICUMPseudoxanthoma elasticumAngioid streaks and elastorrhexis.PSEUDOXANTHOMA ELASTICUM.Pseudoxanthoma Elasticum Report of Twelve Cases: Massive Gastrointestinal Hemorrhage in One PatientFRED F. WHITCOMB JR., M.D., CHARLES H. BROWN, M.D., F.A.C.P.Pseudoxanthoma elasticum and angioid streaks 1 July 1958Volume 49, Issue 1Page: 215-222KeywordsAnesthesiaBirthFetusesGastrointestinal hemorrhageHemorrhagePregnancyRetina Issue Published: 1 July 1958 PDF downloadLoading ...