Blue rubber bleb nevus syndrome physical examination: Difference between revisions
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=== Cutaneous manifestations === | === Cutaneous manifestations === | ||
* The [[skin lesions]] are usually multifocal [[venous malformations]] which are dark blue in colour<ref name="pmid254930432">{{cite journal |vauthors=Jin XL, Wang ZH, Xiao XB, Huang LS, Zhao XY |title=Blue rubber bleb nevus syndrome: a case report and literature review |journal=World J. Gastroenterol. |volume=20 |issue=45 |pages=17254–9 |date=December 2014 |pmid=25493043 |pmc=4258599 |doi=10.3748/wjg.v20.i45.17254 |url=}}</ref> | * The [[skin lesions]] are usually multifocal [[venous malformations]] which are dark blue in colour<ref name="pmid254930432">{{cite journal |vauthors=Jin XL, Wang ZH, Xiao XB, Huang LS, Zhao XY |title=Blue rubber bleb nevus syndrome: a case report and literature review |journal=World J. Gastroenterol. |volume=20 |issue=45 |pages=17254–9 |date=December 2014 |pmid=25493043 |pmc=4258599 |doi=10.3748/wjg.v20.i45.17254 |url=}}</ref><ref name="pmid295372052">{{cite journal |vauthors=Gawlikowska-Sroka A, Glura B, Mokrzycka M, Ociepa T |title=[Bean Syndrome (blue rubber bleb nevus syndrome)] |language=Polish |journal=Pomeranian J Life Sci |volume=62 |issue=2 |pages=5–7 |date=2016 |pmid=29537205 |doi= |url=}}</ref> | ||
* These [[lesions]] vary from millimeters to centimeters in size and diameter | * These [[lesions]] vary from millimeters to centimeters in size and diameter | ||
* [[Venous malformations]] number range from few to hundreds | * [[Venous malformations]] number range from few to hundreds | ||
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* Apart from skin the most commonly organ that is involved in patients with [[blue rubber bleb nevus syndrome]] is [[Gastrointestinal tract|GI tract]]<ref name="pmid254930433">{{cite journal |vauthors=Jin XL, Wang ZH, Xiao XB, Huang LS, Zhao XY |title=Blue rubber bleb nevus syndrome: a case report and literature review |journal=World J. Gastroenterol. |volume=20 |issue=45 |pages=17254–9 |date=December 2014 |pmid=25493043 |pmc=4258599 |doi=10.3748/wjg.v20.i45.17254 |url=}}</ref> | * Apart from skin the most commonly organ that is involved in patients with [[blue rubber bleb nevus syndrome]] is [[Gastrointestinal tract|GI tract]]<ref name="pmid254930433">{{cite journal |vauthors=Jin XL, Wang ZH, Xiao XB, Huang LS, Zhao XY |title=Blue rubber bleb nevus syndrome: a case report and literature review |journal=World J. Gastroenterol. |volume=20 |issue=45 |pages=17254–9 |date=December 2014 |pmid=25493043 |pmc=4258599 |doi=10.3748/wjg.v20.i45.17254 |url=}}</ref> | ||
* In [[Gastrointestinal tract|GI tract]] the most commonly involved region is [[small intestine]]<ref name="pmid191192582">{{cite journal |vauthors=Shin SH, Chae HS, Ji JS, Kim HK, Cho YS, Chang ED, Choi KY |title=A case of blue rubber bleb nevus syndrome |journal=Korean J. Intern. Med. |volume=23 |issue=4 |pages=208–12 |date=December 2008 |pmid=19119258 |pmc=2687681 |doi=10.3904/kjim.2008.23.4.208 |url=}}</ref> | * In [[Gastrointestinal tract|GI tract]] the most commonly involved region is [[small intestine]]<ref name="pmid191192582">{{cite journal |vauthors=Shin SH, Chae HS, Ji JS, Kim HK, Cho YS, Chang ED, Choi KY |title=A case of blue rubber bleb nevus syndrome |journal=Korean J. Intern. Med. |volume=23 |issue=4 |pages=208–12 |date=December 2008 |pmid=19119258 |pmc=2687681 |doi=10.3904/kjim.2008.23.4.208 |url=}}</ref> | ||
* The [[venous malformations]] in [[Gastrointestinal tract|GI tract]] are prone to bleeding | * The [[venous malformations]] in [[Gastrointestinal tract|GI tract]] are prone to bleeding<ref name="pmid29537205">{{cite journal |vauthors=Gawlikowska-Sroka A, Glura B, Mokrzycka M, Ociepa T |title=[Bean Syndrome (blue rubber bleb nevus syndrome)] |language=Polish |journal=Pomeranian J Life Sci |volume=62 |issue=2 |pages=5–7 |date=2016 |pmid=29537205 |doi= |url=}}</ref> | ||
* The bleeding of the [[venous malformations]] [[blue rubber bleb nevus syndrome|in]] [[Gastrointestinal tract|GI tract]] may leads to [[iron deficiency anemia]] | * The bleeding of the [[venous malformations]] [[blue rubber bleb nevus syndrome|in]] [[Gastrointestinal tract|GI tract]] may leads to [[iron deficiency anemia]] | ||
* In severe cases the bleeding might even leads to death | * In severe cases the bleeding might even leads to death | ||
Revision as of 17:24, 13 December 2018
Overview
The presence of skin lesions on physical examination is highly suggestive of blue rubber bleb nevus syndrome.
Physical Examination
Physical examination of patients with blue rubber bleb nevus syndrome is usually remarkable for cutaneous manifestations.[1]
Appearance of the Patient
- Patients with blue rubber bleb nevus syndrome usually appear normal.
Vital Signs
- Tachycardia with regular pulse
Skin
- Skin lesions in patients with blue rubber bleb nevus syndrome classified into:
- Cutaneous and
- Extracutaneous manifestations
Cutaneous manifestations
- The skin lesions are usually multifocal venous malformations which are dark blue in colour[2][3]
- These lesions vary from millimeters to centimeters in size and diameter
- Venous malformations number range from few to hundreds
- Skin lesions have been categorised into 3 types[4]
Extracutaneous manifestations
- Apart from skin the most commonly organ that is involved in patients with blue rubber bleb nevus syndrome is GI tract[5]
- In GI tract the most commonly involved region is small intestine[6]
- The venous malformations in GI tract are prone to bleeding[7]
- The bleeding of the venous malformations in GI tract may leads to iron deficiency anemia
- In severe cases the bleeding might even leads to death
Heart
- Cardiovascular examination of patients with blue rubber bleb nevus syndrome is usually normal
Neuromuscular
- Blue rubber bleb nevus is positive in area like:[8]
- Skull
- CNS
- Musculoskeletal system
Lungs
- Pulmonary hypertension is due thromboembolic events is noticed in some patients with blue rubber bleb nevus syndrome
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References
- ↑ Jin XL, Wang ZH, Xiao XB, Huang LS, Zhao XY (December 2014). "Blue rubber bleb nevus syndrome: a case report and literature review". World J. Gastroenterol. 20 (45): 17254–9. doi:10.3748/wjg.v20.i45.17254. PMC 4258599. PMID 25493043.
- ↑ Jin XL, Wang ZH, Xiao XB, Huang LS, Zhao XY (December 2014). "Blue rubber bleb nevus syndrome: a case report and literature review". World J. Gastroenterol. 20 (45): 17254–9. doi:10.3748/wjg.v20.i45.17254. PMC 4258599. PMID 25493043.
- ↑ Gawlikowska-Sroka A, Glura B, Mokrzycka M, Ociepa T (2016). "[Bean Syndrome (blue rubber bleb nevus syndrome)]". Pomeranian J Life Sci (in Polish). 62 (2): 5–7. PMID 29537205.
- ↑ Shin SH, Chae HS, Ji JS, Kim HK, Cho YS, Chang ED, Choi KY (December 2008). "A case of blue rubber bleb nevus syndrome". Korean J. Intern. Med. 23 (4): 208–12. doi:10.3904/kjim.2008.23.4.208. PMC 2687681. PMID 19119258.
- ↑ Jin XL, Wang ZH, Xiao XB, Huang LS, Zhao XY (December 2014). "Blue rubber bleb nevus syndrome: a case report and literature review". World J. Gastroenterol. 20 (45): 17254–9. doi:10.3748/wjg.v20.i45.17254. PMC 4258599. PMID 25493043.
- ↑ Shin SH, Chae HS, Ji JS, Kim HK, Cho YS, Chang ED, Choi KY (December 2008). "A case of blue rubber bleb nevus syndrome". Korean J. Intern. Med. 23 (4): 208–12. doi:10.3904/kjim.2008.23.4.208. PMC 2687681. PMID 19119258.
- ↑ Gawlikowska-Sroka A, Glura B, Mokrzycka M, Ociepa T (2016). "[Bean Syndrome (blue rubber bleb nevus syndrome)]". Pomeranian J Life Sci (in Polish). 62 (2): 5–7. PMID 29537205.
- ↑ Shin SH, Chae HS, Ji JS, Kim HK, Cho YS, Chang ED, Choi KY (December 2008). "A case of blue rubber bleb nevus syndrome". Korean J. Intern. Med. 23 (4): 208–12. doi:10.3904/kjim.2008.23.4.208. PMC 2687681. PMID 19119258.