| Watermelon stomach in a patient with primary Sj?gren's syndrome. | |
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MedLine Citation:
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PMID: 20361704 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Watermelon stomach (WS) or gastric antral vascular ectasia (GAVE) is a rare cause of upper gastrointestinal bleeding described in a variety of autoimmune disorders. Association of watermelon stomach with Sj?gren's syndrome is extremely rare. CASE REPORT; We presented a 67-year old female with primary Sj?gren's syndrome (SS) who had developed a persistent severe iron-deficiency anemia. An upper gastric endoscopy revealed the presence of gastric antral vascular ectasia (GAVE) as a cause of occult gastrointestinal bleeding. The treatment with argon-plasma coagulation was postponed as the conservative therapy with iron substitution and proton pump inhibitor led to improvement of anemia and hemoglobin levels normalization. CONCLUSION: This is the first report of WS in a patient with primary SS without the presence of coexisting autoimmune disorder. Recognition of this rare, but clinically important, cause of gastrointestinal bleeding may decrease comorbidity in patients with autoimmune disorders including primary Sj?gren's syndrome. |
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Authors:
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Miodrag Krsti?; Tamara Alempijevi?; Sladjana Andrejevi?; Maja Zlatanovi?; Nemanja Damjanov; Branislava Ivanovi?; Ivan Jovanovi?; Dino Tarabar; Tomica Milosavljevi? |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Vojnosanitetski pregled. Military-medical and pharmaceutical review Volume: 67 ISSN: 0042-8450 ISO Abbreviation: Vojnosanit Pregl Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-04-05 Completed Date: 2010-05-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 21530700R Medline TA: Vojnosanit Pregl Country: Serbia |
Other Details:
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Languages: eng Pagination: 256-8 Citation Subset: IM |
Affiliation:
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Clinical Center of Serbia, Clinic for Gastroenterology and Hepatology, Belgrade, Serbia. misa@tehnicom.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anemia, Iron-Deficiency / etiology Female Gastric Antral Vascular Ectasia / complications* Gastrointestinal Hemorrhage / etiology Humans Sjogren's Syndrome / complications* |
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