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Category: Volume 06 Issue 02 February 2018
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Title: Blue Rubber Bleb Naevus Syndrome- A rare cause of microcytic, hypochromic anemia

Authors: Sebastian Marker, Vivek Prakash, CL Nawal, RS Chejara, Kaavya Rao, Prateek Gupta

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i2.165

Abstract

Introduction: Blue rubber bleb naevus syndrome, also known as Bean’s syndrome, is characterized by multiple vascular malformations involving skin, gastrointestinal tract and other parts of the body. The main clinical presentation is soft, compressible skin lesions along with bleeding from the gastrointestinal tract.

Case Report: 24 year old male presented with skin lesions and easy fatiguability since the age of 3-4 years. On examination, there were multiple soft compressible naevi all over the body, and a biopsy from one of these confirmed a squamous epithelium lined vascular lesion. On imaging similar lesions were also noted in the lungs, liver, brain, abdominal wall and in the gut. Colonoscopy revealed vascular lesions in the rectum, sigmoid colon and caecum. The biopsy findings and typical cutaneous and gut lesions allowed for a diagnosis of blue rubber bleb naevus syndrome to be made. The patient was managed conservati5vely and is following up regularly.

Conclusion: Bean’s syndrome is rare cause of microcytic anemia. Proper patient counseling and follow up is a must for the well being of the patient.

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Corresponding Author

Sebastian Marker