Severe gastrointestinal bleeding in a uremic patient treated with estrogen-progesterone therapy.
Int J Artif Organs
; 22(5): 313-6, 1999 May.
Article
em En
| MEDLINE
| ID: mdl-10467929
ABSTRACT
Gastrointestinal bleeding is a frequent complication in hemodialysis patients; angiodysplasia is a potential cause, with a higher incidence in uremic patients. We describe a case of severe anemia (Hemoglobin up to 3.5 g/dl) secondary to diffuse angiodysplastic lesions in a hemodialysis patient with mixed connective tissue disease. The case is characterised both by the severity of the clinical picture (extension and entity of angiodysplastic lesions, frequency of bleeding episodes) and by the patient's religious faith which made her reject blood transfusions. We underline the efficacy of estrogen-progesterone therapy in view of the modest results obtained with other therapeutic strategies on bleeding.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Uremia
/
Congêneres da Progesterona
/
Estradiol
/
Hemorragia Gastrointestinal
/
Noretindrona
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Ano de publicação:
1999
Tipo de documento:
Article