Diederichsen, Axel Cosmus Pyndt3; Rasmussen, Jens Møller2
1 Cardiology, Department of Clinical Research, Det Sundhedsvidenskabelige Fakultet, SDU2 unknown3 Cardiology, Department of Clinical Research, Det Sundhedsvidenskabelige Fakultet, SDU
We report here a 72-year-old man with severe, persistent, iron deficiency anaemia. Upper gastrointestinal endoscopy revealed red stripes radiating to the pylorus, characteristic of watermelon stomach (gastric antral vascular ectasia). The patient was found to have scleroderma with calcinosis, sclerodactyly, and telangiectasias, but neither Raynaud's phenomenon nor oesophageal dysmotility. The patient was treated with endoscopic Argon laser therapy, repeated six times, but this did not control the bleeding. Altogether the patient received 62 units of blood transfusions. The patient died after 9 months.