IN 1860, Gascoyen1 reported an association between cutaneous nevi, intestinal lesions, and gastrointestinal (GI) bleeding. Bean2 separated the blue rubber-bleb nevus syndrome (BRBNS) from other cutaneous vascular lesions and gave the syndrome its name. Demonstration of these lesions has been performed by way of angiography, laparotomy, and autopsy. This case is an example of the BRBNS in which the diagnosis of the GI lesion was made by endoscopy.
Report of a Case
A 23-year-old man was well until three weeks before admission, when he noted the onset of melena, weakness, and fatigue. He denied nausea, vomiting, hematemesis, or hematochezia. There was no history of abdominal pain or peptic ulcer disease. He denied aspirin ingestion and admitted to drinking six beers each week.Physical examination revealed pallor. Vital signs were normal except for a resting tachycardia rate. No mucosal lesions were seen. The skin (Figure) demonstrated several blue rubber-bleb
Morris SJ, Kaplan SR, Ballan K, Tedesco FJ. Blue Rubber-Bleb Nevus Syndrome. JAMA. 1978;239(18):1887. doi:10.1001/jama.1978.03280450059029
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