Severe Blue Rubber Bleb Nevus Syndrome in a Neonate.

TY - JOUR

T1 - Severe Blue Rubber Bleb Nevus Syndrome in a Neonate.

AU - Hansen, L

AU - Wewer, V

AU - Pedersen, S

AU - Matzen, P

AU - Paerregaard, A

PY - 2008

Y1 - 2008

N2 - We report on a child with blue rubber bleb nevus syndrome (BRBNS) presenting during the first days of life with severe bleeding from the upper gastrointestinal tract. Medical treatment with methylprednisolone, cyklokapron, interferon 1 alpha and numerous blood transfusions were given to control bleeding during the first 3 years of life. Afterwards repeated endoscopic electrocoagulations were performed over a period of one year resulting in a termination of bleeding episodes. At ten years of age the patient developed spastic diplegia with slight walking disabilities, coordination and fine motor problems. The case is unique because 1) it is the first neonatal case with BRBNS and severe gastrointestinal bleeding; 2) the patient was successfully treated by endoscopic electrocoagulation; and 3) the long-term follow-up. The use of electrocoagulation appears to have been effective and ablation of the stomach could be avoided until now.

AB - We report on a child with blue rubber bleb nevus syndrome (BRBNS) presenting during the first days of life with severe bleeding from the upper gastrointestinal tract. Medical treatment with methylprednisolone, cyklokapron, interferon 1 alpha and numerous blood transfusions were given to control bleeding during the first 3 years of life. Afterwards repeated endoscopic electrocoagulations were performed over a period of one year resulting in a termination of bleeding episodes. At ten years of age the patient developed spastic diplegia with slight walking disabilities, coordination and fine motor problems. The case is unique because 1) it is the first neonatal case with BRBNS and severe gastrointestinal bleeding; 2) the patient was successfully treated by endoscopic electrocoagulation; and 3) the long-term follow-up. The use of electrocoagulation appears to have been effective and ablation of the stomach could be avoided until now.

U2 - http://dx.doi.org/10.1055/s-2008-1038367

DO - http://dx.doi.org/10.1055/s-2008-1038367

M3 - Journal article

SN - 0939-6764

VL - 19

SP - 47

EP - 49

JO - European Journal of Pediatric Surgery, Supplement

JF - European Journal of Pediatric Surgery, Supplement

ER -