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The British Journal of Rheumatology, Vol 36, 280-284, Copyright © 1997 by British Society for Rheumatology

ORIGINAL PAPERS

Intestinal pseudo-obstruction as an initial presentation of systemic sclerosis in two children

O Ortiz-Alvarez, D Cabral, JS Prendiville, D Stringer, RE Petty and PN Malleson
Department of Pediatrics, University of British, Columbia Vancouver, Canada.

Two children are reported in whom intestinal pseudo-obstruction was the initial manifestation of systemic sclerosis. Gastrointestinal symptoms and skin changes resolved or improved in both children following treatment with prednisone and penicillamine (case 1) or methotrexate (case 2), although radiological changes of the gastrointestinal tract persisted at 3 and 2 yr of follow-up, respectively.
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