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Terlipressin infusion induces ischemia of breast skin in a cirrothic patient with hepatorenal syndrome.
Di Micoli, A; Bracci, E; Cappa, F Mirici; Casadio, R; Zambruni, A; Fontana, K; Bernardi, M; Trevisani, F.
Afiliación
  • Di Micoli A; Department of Internal Medicine, Cardioangiology and Hepatology, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Dig Liver Dis ; 40(4): 304-5, 2008 Apr.
Article en En | MEDLINE | ID: mdl-18160353
We report a case of a 65-year-old woman with hepatitis C virus-related decompensated cirrhosis with hepatorenal syndrome, treated by high dose of terlipressin. Few hours after the highest dose was started, the patient complained burning pain in breasts, followed by the development of extensive bilateral cyanosis of breast's skin. When terlipressin was immediately stopped, pain and skin cyanosis rapidly disappeared. The peculiarity of our case is that cyanosis did not develop in common peripheral sites (e.g. fingers, toes, etc.) but in an atypical area, as skin of the breasts. Probably, this particular behaviour could be explained by the anatomical position of her large size breasts, that resulting as an extremely sloping and stretching region thus filling the maximum effect of gravity.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Piel / Vasoconstrictores / Síndrome Hepatorrenal / Mama / Lipresina / Isquemia Tipo de estudio: Etiology_studies Límite: Aged / Female / Humans Idioma: En Revista: Dig Liver Dis Asunto de la revista: GASTROENTEROLOGIA Año: 2008 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Países Bajos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Piel / Vasoconstrictores / Síndrome Hepatorrenal / Mama / Lipresina / Isquemia Tipo de estudio: Etiology_studies Límite: Aged / Female / Humans Idioma: En Revista: Dig Liver Dis Asunto de la revista: GASTROENTEROLOGIA Año: 2008 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Países Bajos