IJCM  Vol.4 No.7 , July 2013
Anaemia in a Patient with Diffuse Systemic Scleroderma
Abstract: We hereby present a case of anaemia in a 73 years old patient with known past medical history of diffuse systemic scleroderma, who presented with acute onset of dizziness and haemetemesis. Blood tests revealed sudden drop of haemoglobin and an urgent gastroscopy revealed gastric antral vascular ectasia (GAVE) or watermelon stomach. GAVE is a rare but well recognised cause of acute bleeding in systemic scleroderma patients and should be kept as a differential diagnosis in the work up of anaemia in these patients.
Cite this paper: K. Grover and R. Peshin, "Anaemia in a Patient with Diffuse Systemic Scleroderma," International Journal of Clinical Medicine, Vol. 4 No. 7, 2013, pp. 319-320. doi: 10.4236/ijcm.2013.47056.

[1]   P. F. Suit, R. E. Petras, T. W. Bauer and J. L. Petrini Jr., “Gastric Antral Vascular Ectasia. A Histologic and Morphometric Study of ‘the Watermelon Stomach’,” The American Journal of Surgical Pathology, Vol. 11, No. 10, 1987, pp. 750-757. doi:10.1097/00000478-198710000-00002

[2]   M. Komiyama, K. Fu, T. Morimoto, H. Konuma, T. Yamagata, Y. Izumi, A. Miyazaki and S. Watanabe, “A Novel Endoscopic Ablation of Gastric Antral Vascular Ectasia,” World Journal of Gastrointestinal Endoscopy, Vol. 2, No. 8, 2010, pp. 298-300.

[3]   C. P. Selinger and Y. S. Ang, “Gastric Antral Vascular Ectasia (GAVE): An Update on Clinical Presentation, Pathophysiology and Treatment,” Digestion, Vol. 77, No. 2, 2008, pp. 131-137. doi:10.1159/000124339

[4]   G. Rosenfeld and R. Enns, “Argon Photocoagulation in the Treatment of Gastric Antral Vascular Ectasia and Radiation Proctitis,” Canadian Journal of Gastroenterology, Vol. 23, No. 12, 2009, pp. 801-804.

[5]   M. Watson, R. J. Hally, P. A. McCue, J. Varga and S A. Jiménez, “Gastric Antral Vascular Ectasia (Watermelon Stomach) in Patients with Systemic Sclerosis,” Arthritis & Rheumatism, Vol. 39, No. 2, 1996, pp. 341-346. doi:10.1002/art.1780390226