Mujer de 51 años con astenia, pérdida de peso y anasarca / 51 years-old woman with fatigue, weight loss and anasarca

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Blue rubber bleb nevus syndrome: prominent oral findings.

Blue rubber bleb nevus syndrome is a rare disorder characterized by multiple cutaneous venous malformations in association with visceral lesions, most commonly affecting the gastrointestinal tract. Oral cavity lesions occur in 59 to 64% of cases. We report a unique presentation of this syndrome in a 25-year-old male patient with prominent oral findings. This is a sporadic case, started during early childhood, progressively increasing in number and size. Oral vascular lesions were part of gastrointestinal involvement. Associated cardiac abnormalities were also observed. An early diagnosis of this syndrome is required as it gets complicated with bleeding, anemia and other systemic complications.

Iron therapy in severe cutaneous leprosy

Abnormally low haemoglobin readings have been found in patients suffering from leprosy, particularly the lepromatous form, in the absence of intercurrent disease and secondary septic complications. This is particularly, marked in the L2 and L3 cases where patients fail to improve on routine treatment over a prolonged period. Response to Ferri et Ammon. Citrate is immediate and rapid up to a level of about 65-70 percent, and further gain follows the administration of Ferrous Sulphate. Clinical improvement follows the rise in haemoglobin. The haemoglobin curve appears to be an accurate clinical barometer, similar to the Blood Sedimentation Index. Haemoglobin estimations are simpler and take far less time. The possible influence of the diet is indicated. The investigation took place over 14 months, involving 195 persons and including 21 "controls" (Summary)