Uso de talidomida en sangrado recurrente por angiodisplasias gastrointestinales: Caso clínico

Vega, Jorge; Goecke, Helmuth; Rodríguez, Ma De Los Ángeles; Vergara, M

doi:10.4067/s0034-98872011000700012

Cited by 1 publication

(1 citation statement)

References 24 publications

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“…In this case, angioectasias were successfully treated with thermo‐coagulation with argon plasma. Studies show that for angioectasia‐related gastrointestinal bleeding, therapeutic options include endoscopic therapy (i.e., laser photoablation, thermo‐coagulation with argon plasma, and bi‐ or multipolar electrocoagulation), certain drugs as octeotride (not available at that time), thalidomide or conjugated estrogen; and surgery 7,8 . Angioectasias locations were key determining treatment effectiveness.…”

Section: Treatmentmentioning

confidence: 99%

Diagnostic evaluation and assessment of anemia in a patient with chronic kidney disease and gastrointestinal angioectasias undergoing hemodialysis

Courville

Bernal

Quiel

et al. 2022

Clinical Case Reports

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Management of anemia in chronic kidney disease (CKD) patients in hemodialysis must be tailored. Keeping hemoglobin levels within adequate ranges depends on nutritional, inflammatory, mechanical, and immunological factors unique for each patient and on their response to erythropoiesis-stimulating agents. Hence, each patient requires a personalized approach and treatment. | CASE PRESENTATIONThis is a 68-year-old male patient with a long history of type 2 diabetes mellitus (20 years) treated with low dose intermediate insulin, hypertension controlled with calcium channel blockers and angiotensin-converting enzyme inhibitors (ACE inhibitors), pulmonary emphysema secondary to smoking, and stage 5 chronic kidney disease, receiving hemodialysis three times per week since 2017. In February 2018, he received an arteriovenous dialysis graft for vascular access. He was hospitalized in June 2018 to treat an ulcer in his left foot associated with his underlying diabetes, which required debridement and specialized wound care, with good evolution and discharge after 10 days with an oral antiplatelet agent.In August 2018, he presents a sudden episode of pallor and weakness at home, and he is taken to the Emergency Department, where he is hospitalized with a diagnosis of lower gastrointestinal (GI) tract bleeding, with digital rectal

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Section: Treatmentmentioning

confidence: 99%