Table 1 -- Oral and Cutaneous Manifestations of Disorders Associated with Gastrointestinal Bleeding
Disorder Oral/cutaneous lesion

Inflammatory bowel disease

 

Erythema nodosum, pyoderma gangrenosum

Crohn's disease

Metastatic Crohn's disease; oral aphthae, cobblestone plaques, tags; lip fissures; cheilitis; perioral erythema

 

Infectious colitis (Yersinia enterocolitica, Shigella flexneri, Campylobacter jejuni)

 

Erythema nodosum

Pseudoxanthoma elasticum

Skin lesions (yellow to orange papules) in flexural areas

 

Hereditary hemorrhagic telangiectasia
(HHT) (Osler-Weber-Rendu Syndrome)

1-3 mm macular telangiectasias of the face, lips, tongue, conjunctiva, fingers, chest and feet

 

CREST Syndrome

Same as for HHT; cutaneous calcinosis; Raynaud's phenomenon; sclerodactyly

 

Blue Rubber Bleb Nevus Syndrome

Blue, subcutaneous, compressible nodules

 

Gastric adenocarcinoma

Acanthosis nigricans

 

GI adenocarcinomas

Cutaneous metastases (nonspecific, firm, dermal or subcutaneous nodules)