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Blood Coagul Fibrinolysis ; 34(8): 545-548, 2023 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-37942747

RESUMO

Glanzmann's Thrombasthenia (GT) is a rare hemorrhagic condition caused by a platelet surface receptor disorder of the glycoprotein (GP) IIb/IIIa. Symptoms of GT are various forms of hemorrhages, such as purpura, epistaxis and menorrhagia. Gastrointestinal bleeding (GIB) is a rare expression of the condition and may occur due to traumas in the GI tract or as a consequence of gastrointestinal angiodysplasia (GIADs). In this case report, we present a middle-aged woman with recurrent GIB consequent to GIADs with persistent melena and iron deficiency anemia. After several unsuccessful therapeutic interventions, the patient was studied by the hereditary hemorrhagic telangiectasia's (HHT - Osler-Weber-Rendu disease) unit, where she received bevacizumab, showing a complete improvement in symptoms as well as a reduction in her GIADs. This case shows that bevacizumab could be a possible line of treatment for patients with coagulation disorders with GIADs.


Assuntos
Angiodisplasia , Transtornos Plaquetários , Menorragia , Trombastenia , Humanos , Pessoa de Meia-Idade , Feminino , Trombastenia/complicações , Trombastenia/tratamento farmacológico , Bevacizumab/uso terapêutico , Complexo Glicoproteico GPIIb-IIIa de Plaquetas , Menorragia/etiologia , Hemorragia Gastrointestinal/etiologia , Hemorragia Gastrointestinal/complicações , Doenças Raras/complicações , Angiodisplasia/complicações , Angiodisplasia/tratamento farmacológico
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