Wednesday, September 22, 2010

SKIN IN GIT DISORDERS

SKIN IN DISEASES OF THE GASTROINTESTINAL TRACT

There are many diseases of the GIT that are associated with Cutaneous manifestations. They can be broadly grouped into following types:
1) Cutaneous manifestations of Malabsorption.
2) Cutaneous manifestations of Inflammatory Bowel Disease.
3) Cutaneous disorders associated with Gastrointestinal Bleeding.

· CUTANEOUS MANIFESTATION OF MALABSORPTION
Malabsorption is a condition characterized by decreased uptake of nutrient by the intestines associated with an increased fecal excretion of fat (Steatorrhea). These may lead to varying degree of deficiencies of proteins, minerals, trace elements, vitamins, carbohydrates and water.
It is associated with several disorders:
# Coeliac disease
# Scleroderma
# Whipple’s disease
# Diabetes mellitus
# Amyloidosis
# Cystic fibrosis of pancreas
# Chronis pancreatitis
Skin changes due to malabsorption includes:
· Acquired icthyosis
· Hyperpigmentation
· Skin texture & elasticity
· Eczematous & psoriasiform rashes
· Hair & nail changes

CUTANEOUS MANIFESTATIONS OF IBD:
Ulcerative colitis & Crohn’s disease are Inflammatory Bowel Disease that have many cutaneous manifestations. They includes;
· Fissures & fistulas
· Oral Crohn’s disease
· Pyoderma gangrenosum
· Erythema nodosum
· Apthous ulcers
· Vesiculo pustular eruptions
· Necrotising vasculitis
· Clubbing
· Vitiligo
· Psoriasis

CUTANEOUS DISORDERS ASSOCIATED WITH GI BLEEDING:

Various disorders may be associated with gastrointestinal bleeding.They includes;
· Scurvy
· Hematological disorders
· Kaposi’s sarcoma
· Primary Systemic Amyloidosis
· Curling’s ulcer
· Neurofibromatosis
· Ehlers-Danlos syndrome
BY:
DR CHETAN LALSETA
M.D.(Skin & V D)
DERMATOLOGIST & COSMETOLOGIST
SHRADDHA SKIN & COSMETIC CENTER
“DOCTOR HOUSE”,
2nd FLOOR, INDIRA CIRCLE CHOWK
RAJKOT
www.drlalseta.blogspot.com
chetanlalseta@gmail.com
Contact: 09825199585
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