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William D. White, MD; Thomas R. Treece, MD; Kerrison Juniper, Jr., MD
University of Arkansas Medical Center Little Rock

JAMA. 1970;212(6):1068.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Pneumatosis cystoides intestinalis is a rare complication of scleroderma of the small bowel. Previous reports have indicated that this late complication heralds a poor prognosis.¹ We have observed one patient with pneumatosis for more than 6 1/2 years. This case is presented to suggest that this complication of intestinal scleroderma does not necessarily indicate a poorer life expectancy.

Report of a Case.—

A 48-year-old Negro housewife was seen in the Medical Clinic in March 1959. Dysphagia, tightness of the skin of the hands, Raynaud's phenomenon, and multiple joint stiffness had been present for one year. An esophagogram revealed a dilated esophagus with lack of peristalsis. A mecholyl test demonstrated lack of sensitivity of the esophagus. The hemoglobin level was 11 gm/100 with a sedimentation rate of 51 mm/hr. During the next four years, the patient was treated for reflux esophagitis with stricture formation. In May 1963, . . . [Full Text PDF of this Article]

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