Dilatated submucosal vessels in the gastric fundus of a patient with pseudoxanthoma elasticum

A 32-year-old man had suspected pseudoxanthoma elasticum (PXE) because of the existence of yellow-white papules on his skin and angioid streaks. After a mutation of the ATP-binding cassette C6 (ABCC6) gene was found, we made a definitive diagnosis of PXE. We performed EGD to investigate the formation of GI aneurysms. EGD showed highly dilatated and tortuous vessels (cirsoid aneurysm) in the gastric fundus (A). EUS revealed dilatated vessels in...