Erythropoietin resistance in end-stage renal disease patient with gastric antral vascular ectasia.
J Bras Nefrol
; 37(2): 271-4, 2015.
Article
en En
| MEDLINE
| ID: mdl-26154650
ABSTRACT
We observed a case of recombinant human erythropoietin resistance caused by Gastric Antral Vascular Ectasia in a 40-year-old female with ESRD on hemodialysis. Some associated factors such as autoimmune disease, hemolysis, heart and liver disease were discarded on physical examination and complementary tests. The diagnosis is based on the clinical history and endoscopic appearance of watermelon stomach. The histologic findings are fibromuscular proliferation and capillary ectasia with microvascular thrombosis of the lamina propria. However, these histologic findings are not necessary to confirm the diagnosis. Gastric Antral Vascular Ectasia is a serious condition and should be considered in ESRD patients on hemodialysis with anemia and resistance to recombinant human erythropoietin because GAVE is potentially curable with specific endoscopic treatment method or through surgical procedure.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Eritropoyetina
/
Ectasia Vascular Antral Gástrica
/
Anemia
/
Fallo Renal Crónico
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
J Bras Nefrol
Asunto de la revista:
NEFROLOGIA
Año:
2015
Tipo del documento:
Article
País de afiliación:
Brasil