Intestinal Scleroderma With Malabsorption

To the Editor:—  I was very much interested in the report by Meihoff et al, "Small Intestinal Scleroderma With Malabsorption and Pneumatosis Cystoides Intestinalis" (204: 854,1968). While a resident in medicine at the University of Washington Hospitals I had the opportunity of caring for an identical case. I should appreciate the opportunity of reporting this third case of the association between scleroderma with small intestinal involvement, malabsorption, and the presence of gas in the wall of the intestine known as pneumatosis cystoides intestinalis.

Report of a Case:—  A 40-year-old white woman was referred to the University of Washington Hospitals for evaluation and therapy of scleroderma. She had first noted the onset of blanching of the fingertips with exposure to cold some 22 years ago. This gradually progressed to deep cyanosis and ulcerations. Ten years later she first noted a feeling of tightness in her throat with some difficulty swallowing. Gastrointestinal