PRESENTATION OF A CASE WITH DIFFUSE TELANGECTASIA, HEMATEMESIS AND NASAL BLEEDING

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FANI A.

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Journal Paper

Paper Information

Journal: Journal of Arak University Medical Sciences Year:2000 | Volume:3 | Issue:1 (10) Page(s): 25-29

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Title

PRESENTATION OF A CASE WITH DIFFUSE TELANGECTASIA, HEMATEMESIS AND NASAL BLEEDING

Author(s)

FANI A. | Issue Writer Certificate

Keywords

GOSTROINTESTINAL TRACTQ4

RECTAL EXAMQ4

TELANGECTASIAQ4

Abstract

A 56 years old female was admitted to our hospital, because of, dyspnea, tachycardia hematemesis and melena. In physical exams she was severely ill, pale, and tachycardic, with decreased breath sounds on the base of right lung, with BP, 100.60, and pulse rate of 120/min. Abdomen was soft. In RECTAL EXAM streaky fresh blood and melena was observed. Diffuse red papulae on face, trunk and oral mucosa were present with recurrent nasal bleeding since last year. In upper GI endoscopy and colonoscopy, diffuse telangectasic lesions in esophagus, stomach, duodenum and entire length of colon and streaky fresh blood in colon were observed, Under conservative treatment her bleeding stopped on the 10th day after treatment. Collagen vascular diseases, coagulopathy and malignancies were ruled out by parac1inical examinations. Senile angiodisplastic diseases which are usually limited to colon and vascular ectasia can not be suggested because the skin and upper gastrointestinal tract is involved. Cancers, polyps and hemorrhoid, were ruled out by endoscopy and colonoscopy. Heriditary Hemorrhagic Telangictasia (HHT) is an Auto-Dom disorder with involvement of oral and gastrointestinal mucosa, skin and viscera. HHT involves capillaries, makes tortuous, fragile bloody spaces which can be manifested through infancy to old age. The most common manifestation of the diseases (in addition to nose bleeding and skin lesions), is the severe gastrointestinal bleeding, often leading to massive blood transfusion. Recommended treatments: 1- Coagulotherapy of hemorrhagic lesions. 2-Estrogen and progesterone therapy. 3- Amino caproic acid therapy for prevention of fibrinolysis, 4- In severe cases, surgical therapy is needed.

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APA: Copy

FANI, A.. (2000). PRESENTATION OF A CASE WITH DIFFUSE TELANGECTASIA, HEMATEMESIS AND NASAL BLEEDING. ARAK MEDICAL UNIVERSITY JOURNAL (AMUJ), 3(1 (10)), 25-29. SID. https://sid.ir/paper/69257/en

Vancouver: Copy

FANI A.. PRESENTATION OF A CASE WITH DIFFUSE TELANGECTASIA, HEMATEMESIS AND NASAL BLEEDING. ARAK MEDICAL UNIVERSITY JOURNAL (AMUJ)[Internet]. 2000;3(1 (10)):25-29. Available from: https://sid.ir/paper/69257/en

IEEE: Copy

A. FANI, “PRESENTATION OF A CASE WITH DIFFUSE TELANGECTASIA, HEMATEMESIS AND NASAL BLEEDING,” ARAK MEDICAL UNIVERSITY JOURNAL (AMUJ), vol. 3, no. 1 (10), pp. 25–29, 2000, [Online]. Available: https://sid.ir/paper/69257/en

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