Kasabach-Merritt syndrome: clinical vs. surgical treatment
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Vascular Brasileiro (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492014000400330 |
Resumo: | Kassabach-Merritt syndrome is a combination of capillary hemangioma and thrombocytopenia that predisposes to bleeding with petechiae, ecchymosis and spontaneous bruising. Treatment is generally started with corticosteroids, interferon alpha or chemotherapy. We present the case of a child (aged 1 year and 9 months) with a giant hemangioma, from the root of the thigh to the knee, and thrombocytopenia. Treatment was started with corticosteroids, without improvement, and then intra-tumor and cutaneous bleeding appeared spontaneously. The patient's clinical condition precluded prescription of vincristine and interferon and emergency tumor resection was conducted because of extreme thrombocytopenia and bleeding. The child then began to develop sepsis with hypotension and ischemia of remnant tissues. This case presented a therapeutic challenge, which is the subject of this article. |
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Kasabach-Merritt syndrome: clinical vs. surgical treatmentKasabach-Merritt syndromeamputationcorticosteroidshemangiomaKassabach-Merritt syndrome is a combination of capillary hemangioma and thrombocytopenia that predisposes to bleeding with petechiae, ecchymosis and spontaneous bruising. Treatment is generally started with corticosteroids, interferon alpha or chemotherapy. We present the case of a child (aged 1 year and 9 months) with a giant hemangioma, from the root of the thigh to the knee, and thrombocytopenia. Treatment was started with corticosteroids, without improvement, and then intra-tumor and cutaneous bleeding appeared spontaneously. The patient's clinical condition precluded prescription of vincristine and interferon and emergency tumor resection was conducted because of extreme thrombocytopenia and bleeding. The child then began to develop sepsis with hypotension and ischemia of remnant tissues. This case presented a therapeutic challenge, which is the subject of this article.Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)2014-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492014000400330Jornal Vascular Brasileiro v.13 n.4 2014reponame:Jornal Vascular Brasileiro (Online)instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)instacron:SBACV10.1590/1677-5449.0102info:eu-repo/semantics/openAccessMoura,ReginaSobreira,Marcone LimaBertanha,MatheusJaldin,Rodrigo GibinSilva,Maria MadalenaPereira,LiedTakegawa,Bonifacio KatsunoriYoshida,Winston Bonettieng2015-09-15T00:00:00Zoai:scielo:S1677-54492014000400330Revistahttp://www.scielo.br/jvbhttps://old.scielo.br/oai/scielo-oai.php||secretaria@sbacv.org.br1677-73011677-5449opendoar:2015-09-15T00:00Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)false |
dc.title.none.fl_str_mv |
Kasabach-Merritt syndrome: clinical vs. surgical treatment |
title |
Kasabach-Merritt syndrome: clinical vs. surgical treatment |
spellingShingle |
Kasabach-Merritt syndrome: clinical vs. surgical treatment Moura,Regina Kasabach-Merritt syndrome amputation corticosteroids hemangioma |
title_short |
Kasabach-Merritt syndrome: clinical vs. surgical treatment |
title_full |
Kasabach-Merritt syndrome: clinical vs. surgical treatment |
title_fullStr |
Kasabach-Merritt syndrome: clinical vs. surgical treatment |
title_full_unstemmed |
Kasabach-Merritt syndrome: clinical vs. surgical treatment |
title_sort |
Kasabach-Merritt syndrome: clinical vs. surgical treatment |
author |
Moura,Regina |
author_facet |
Moura,Regina Sobreira,Marcone Lima Bertanha,Matheus Jaldin,Rodrigo Gibin Silva,Maria Madalena Pereira,Lied Takegawa,Bonifacio Katsunori Yoshida,Winston Bonetti |
author_role |
author |
author2 |
Sobreira,Marcone Lima Bertanha,Matheus Jaldin,Rodrigo Gibin Silva,Maria Madalena Pereira,Lied Takegawa,Bonifacio Katsunori Yoshida,Winston Bonetti |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Moura,Regina Sobreira,Marcone Lima Bertanha,Matheus Jaldin,Rodrigo Gibin Silva,Maria Madalena Pereira,Lied Takegawa,Bonifacio Katsunori Yoshida,Winston Bonetti |
dc.subject.por.fl_str_mv |
Kasabach-Merritt syndrome amputation corticosteroids hemangioma |
topic |
Kasabach-Merritt syndrome amputation corticosteroids hemangioma |
description |
Kassabach-Merritt syndrome is a combination of capillary hemangioma and thrombocytopenia that predisposes to bleeding with petechiae, ecchymosis and spontaneous bruising. Treatment is generally started with corticosteroids, interferon alpha or chemotherapy. We present the case of a child (aged 1 year and 9 months) with a giant hemangioma, from the root of the thigh to the knee, and thrombocytopenia. Treatment was started with corticosteroids, without improvement, and then intra-tumor and cutaneous bleeding appeared spontaneously. The patient's clinical condition precluded prescription of vincristine and interferon and emergency tumor resection was conducted because of extreme thrombocytopenia and bleeding. The child then began to develop sepsis with hypotension and ischemia of remnant tissues. This case presented a therapeutic challenge, which is the subject of this article. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492014000400330 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492014000400330 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1677-5449.0102 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
publisher.none.fl_str_mv |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
dc.source.none.fl_str_mv |
Jornal Vascular Brasileiro v.13 n.4 2014 reponame:Jornal Vascular Brasileiro (Online) instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) instacron:SBACV |
instname_str |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
instacron_str |
SBACV |
institution |
SBACV |
reponame_str |
Jornal Vascular Brasileiro (Online) |
collection |
Jornal Vascular Brasileiro (Online) |
repository.name.fl_str_mv |
Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
repository.mail.fl_str_mv |
||secretaria@sbacv.org.br |
_version_ |
1752126646905733120 |