Diagnosis of pseudoxanthoma elasticum [PXE] from patients presenting with bleeding per rectum

ABSTRACT

To find out rare cause of bleeding per rectum in young patients in our study of 200 patients presenting with bleeding per rectum. Department of Medicine, Nishtar Hospital, Multan. Durations From July 1998 to July 2000. Two hundred patients presenting with bleeding per rectum were studied. History, general physical examination and systemic examination were done. Then provision clinical diagnosis was made and related investigations were done to confirm the diagnosis. Out of these 200 patients, 164 patients were diagnosed as having bleeding esophageal varices due to cirrhosis of liver. 22 patients were diagnosed as having gastritis [commonly drug induced] on endoscopy, 6 patients were having bleeding hemorrhoids, 3 patients were having bleeding gastric ulcer and 5 patients were diagnosed as having PXE. When young patients presented with bleeding per rectum and if diagnosis become difficult, then PXE must be considered in these patients and investigated properly