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Roentgenographic and Pathologic Aspects of Intestinal Scleroderma

E. RALPH HEINZ, M.D.; ALLEN J. STEINBERG, M.D.; and MARVIN A. SACKNER, M.D.
Ann Intern Med. 1963;59(6):822-826. doi:10.7326/0003-4819-59-6-822
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The atonic esophagus which empties only with the aid of gravity is a well known roentgenographic sign of scleroderma. It has been a useful corroborative finding in this disease. Most authors have emphasized the nonspecific nature of the abnormalities in the remainder of the gastrointestinal tract while conceding that the proximal small bowel is more severely involved (1-4). In recent years, it has been established that the patients may present with characteristic visceral manifestations of scleroderma with little or no skin alterations (5). The purpose of the present study is to direct attention toward recognition of specific roentgenographic signs of

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