Percorsi clinici
Anemia sideropenica: a ragionarci sopra è sempre facile
Sideropoenic anaemia: it is always easy to reason about it
Federico Marchetti1, Martina Mainetti1, Lorenzo Mambelli1, Francesco Italiano2, Vincenzo Domenichelli2, Silvana Federici2
1UOC di Pediatria e Neonatologia, Presidio Ospedaliero di Ravenna; 2UOC di Chirurgia Pediatrica, Presidio Ospedaliero di Rimini, AUSL della Romagna
Aprile 2015 - pagg. 247 -251
Abstract
The paper describes the case of a 14-year-old girl who presented with relapsing chronic
anaemia without initial evidence of gastrointestinal bleeding after performing EGDS, colonoscopy,
scintigraphy with technetium and marked red blood cell, and endoscopy
with videocapsule. At the age of 11 months, due to the presence of a highly visible vascular
malformation at the level of the tibia, the girl underwent the first surgical resection.
Other surgical resections of some vascular lesions of a finger of her right hand and
of her left foot were performed when she was 5 and 7 years old, respectively. The physical
examination revealed some small blue-blackish marks on her forehead and left forearm.
The laparoscopy showed the presence of two small angiomatous vascular malformations
at the level of the ileum. The final diagnosis is Blue rubber bleb nevus syndrome
(BRBNS). BRBNS is a rare disease characterized by multiple venous malformations and
haemangiomas in the skin and visceral organs. The lesions often involve the cutaneous
and gastrointestinal systems. Other organs can also be involved, such as the central nervous
system. The most common symptoms are gastrointestinal bleeding and secondary
iron deficiency anaemia. The Authors summarize the possible causes of sideropoenic
anaemias due to gastrointestinal bleeding and possible limits of the investigation techniques
that support the diagnosis, such as endoscopic videocapsule and scintigraphy.
Parole chiave
Classificazione MeSH
Contenuto riservato
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Corrispondenza: federico.marchetti@auslromagna.it