Clinical Gastroenterology and Hepatology 2014;-:1

LETTERS TO THE EDITOR Readers are encouraged to write letters to the editor concerning articles that have been published in Clinical Gastroenterology and Hepatology. Short, general comments are also considered, but use of the Letters to the Editor section for publication of original data in preliminary form is not encouraged. Letters should be typewritten and submitted electronically to http://www. editorialmanager.com/cgh.

GEORGE F. LONGSTRETH, MD Department of Gastroenterology Kaiser Permanente Medical Care Program San Diego, California

Calcinosis, Varioliform Gastritis, and Bleeding Dear Editor: Gray et al1 attributed their patient’s gastric bleeding to mucosal calcinosis associated with advanced renal disease. The endoscopic appearance of the gastric lesions resembles antral varioliform gastritis, which has a variable histology2 and can occur with similar duodenal lesions,3 as they depicted. In addition, 3 reported patients with this disorder had acute or occult bleeding.4 Therefore, it seems possible that varioliform gastritis had an etiologic role in their patient’s bleeding.

References 1.

Gray M, et al. Clin Gastroenterol Hepatol 2014;12:xxii.

2.

Haot J, et al. Gut 1990;31:282–285.

3. 4.

Haot J, et al. Gut 1988;29:1258–1264. Green PH, et al. Am J Gastroenterol 1982;77:543–547.

Conflicts of interest The author discloses no conflicts. http://dx.doi.org/10.1016/j.cgh.2014.03.024

Calcinosis, varioliform gastritis, and bleeding.

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