• Affects esophagus, small bowel and colon, sparing the stomach
• Atrophy of the muscular layers and replacement with fibrous tissue
• Associated with malabsorption
X-ray
• Whole small bowel is usually dilated with close approximation of the valvulae (hide-bound appearance) (stack-of-coins)
Scleroderma of the bowel - note reflux into slightly dilated distal esophagus and dilatation of small bowel with "stack-of-coins" appearance. The lower picture, a stack-of-coins.
Scleroderma
• Affects esophagus, small bowel and colon, sparing the stomach
• Atrophy of the muscular layers and replacement with fibrous tissue
• Associated with malabsorption
X-ray
• Whole small bowel is usually dilated with close approximation of the valvulae (hide-bound appearance) (stack-of-coins)
Scleroderma of the bowel - note reflux into slightly dilated distal esophagus
and dilatation of small bowel with "stack-of-coins" appearance.
The lower picture, a stack-of-coins.