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Rheumatology 2001; 40: 1072-1073
© 2001 British Society for Rheumatology

Letters to the Editor

Intravenous immunoglobulins and octreotide as treatment of intestinal pseudo-obstruction revealing a recurrence of polymyositis

I. Marie, J. M. Kerleau, P. Ducrotte1, P. Denis1, C. Maillot1, H. Levesque and H. Courtois

Department of Internal Medicine and
1 Department of Gastroenterology, Centre Hospitalier Universitaire de Rouen, 76031 Rouen Cedex, France

SIR, Polymyositis (PM) and dermatomyositis (DM) are systemic inflammatory disorders affecting skeletal muscles and other organs, especially the digestive tract [1, 2]. Although the prevalence of oesophageal impairment in PM/DM patients has been reported to be as high as 60% [1], gastrointestinal involvement is less recognized in PM/DM, leading to dramatic complications, i.e. haemorrhage and perforation related to vasculitis, spontaneous abdominal haematoma, pneumatosis cystoides intestinalis [3–6] and more rarely intestinal pseudo-obstruction [7–9]. We recently observed a new case which is of particular interest, as the patient developed intestinal pseudo-obstruction, revealing a recurrence . . . [Full Text of this Article]

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