A case of Hereditary Hemorrhasic Telangiectasia (Rendu-Osler-Weber disease) with gastric hemorrhagic lesions successfully treated by Algon plasma coagulation

Noriko Shiga, Toshiaki Ochiai, Sawako Tominaga, Eikichi Ihara, Masahiro Matsumoto, Kuniomi Honda, Kyoko Taniguchi, Shinji Takeya, Yoshikatsu Migita, Osamu Tsuchida, Naohiko Harada, Teppei Kabemura

研究成果: Contribution to journalArticle査読

3 被引用数 (Scopus)

抄録

A 47-year-old man was admitted to our hospital with the chief complaint of frequent nasal bleeding. Several telangiectatic lesions were observed both on his skin and on his oral mucosa. His father had not only similarly experienced frequent nasal bleeding but also had similar skin lesions as those demonstrated by the patient. We, therefore, made a diagnosis of Hereditary Hemorrhagic Telangiectasia (Rendu-Osler-Weber disease: ROW disease). Upper gastrointestinal endoscopy revealed a number of hemorrhagic telangiectasia lesions throughout the stomach which are considered to cause chronic anemia. Argon plasma coagulation was used to treat the hemorrhagic telangiectasia, with which resulted in an improvement of his anemia. He also demonstrated a couple of pulmonary arteriovenus malformations (p-AVM) and multiple hepatic hemangiomatous lesions associated with ROW disease. Since he also suffered from exartional dyspnea with hypoxia due to p-AVM, embolization with platinum coils was performed to treat the p-AVM. The argon plasma coagulation method is considered to be an effective treatment for gastric lesions in ROW disease.

本文言語英語
ページ(範囲)2093-2099
ページ数7
ジャーナルGASTROENTEROLOGICAL ENDOSCOPY
45
10
出版ステータス出版済み - 10 2003
外部発表はい

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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