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ARTICLE |

Scleroderma-like Lesions and the Carcinoid Syndrome

James F. Fries, MD; John A. Lindgren, MD; Joan M. Bull, MD
Arch Intern Med. 1973;131(4):550-553. doi:10.1001/archinte.1973.00320100078010.
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Patients with scleroderma-like lesions secondary to metastatic secreting carcinoid tumors are different in several ways from patients with progressive systemic sclerosis. Scleroderma resulting from a carcinoid does not have an acrosclerotic distribution but develops first in dependent regions of the body following pronounced pitting edema. Raynaud's phenomenon is absent. Results of serological tests are negative. The typical internal organ changes of systemic sclerosis are not seen. Differences in end-organ (skin) response to exogenous serotonin creatinine sulfate suggest metabolic differences as well. It is probable that scleroderma arises by a different mechanism when associated with the carcinoid syndrome than when seen independently, and that this mechanism involves capillary permeability and tissue edema induced by serotonin or other active tumor metabolites.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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