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[标记红细胞闪烁扫描术在蓝色橡皮疱痣综合征中的应用价值]

[Usefulness of labelled red-cell scintigraphy in Blue Rubber-Bleb Nevus syndrome].

作者信息

Gallego Peinado M, de Arcocha Torres M, López Casado M A, Custosio Rebollo Aguirre A, Santiago Chinchilla A, Llamas Elvira J M

机构信息

Servicio de Medicina Nuclear, Hospital Universitario Virgen de las Nieves, Granada. España.

出版信息

Rev Esp Med Nucl. 2009 Jan-Feb;28(1):18-21. doi: 10.1016/s0212-6982(09)70211-3.

Abstract

Blue Rubber Bleb Nevus syndrome is a rare disorder characterized by distinctive cutaneous and gastrointestinal venous malformations that usually cause episodes of occult gastrointestinal haemorrhage and iron deficiency anaemia. We describe an 8-year-old girl who had multiple cutaneous venous malformations since birth. She also suffered from several episodes of severe chronic iron deficiency anaemia and required blood transfusions. To evaluate the presence of gastrointestinal bleeding secondary to intestinal angiomatosis, we decided to perform 99mTc-labelled red blood cell scintigraphy, which confirmed cutaneous venous malformations and also showed gastrointestinal vascular lesions that suggested the diagnosis of Blue Rubber Bleb Nevus Syndrome.

摘要

蓝色橡皮疱痣综合征是一种罕见的疾病,其特征为独特的皮肤和胃肠道静脉畸形,通常会引发隐匿性胃肠道出血和缺铁性贫血。我们描述了一名8岁女孩,她自出生以来就有多处皮肤静脉畸形。她还经历了几次严重的慢性缺铁性贫血发作,需要输血。为了评估肠道血管瘤病继发胃肠道出血的情况,我们决定进行99mTc标记的红细胞闪烁扫描,该扫描证实了皮肤静脉畸形,还显示了胃肠道血管病变,提示诊断为蓝色橡皮疱痣综合征。

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