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      La piel como espejo del tracto gastrointestinal Translated title: The skin as a mirror of the gastrointestinal tract

      case-report

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Resumen Se presentan 4 casos de sangrado digestivo cuyas manifestaciones en la piel permitieron orientar el diagnóstico antes de la endoscopia, lo cual muestra la importancia de realizar un buen examen físico en todos los pacientes y no solo centrarse en los exámenes.

          Translated abstract

          Abstract We present four cases of digestive bleeding whose skin manifestations guided diagnosis prior to endoscopy. These cases demonstrate the importance of a good physical examination of all patients rather than just focusing on laboratory tests.

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          Most cited references5

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          The new pemphigus variants.

          Pemphigus describes a group of autoimmune diseases characterized by blisters and erosions of the skin and mucous membranes, acantholysis by histology, and autoantibodies directed against epidermal cell surface components. Since the early 1970s, the following new clinical variants of pemphigus have been reported: pemphigus herpetiformis, IgA pemphigus, and paraneoplastic pemphigus. In recent years, significant data have been obtained from laboratory investigation on these rare and atypical variants, especially regarding their specific target antigens. We review these variants, their clinical presentations, histologic findings, immunopathology, target antigens, theories of pathogenesis, treatment modalities, and clinical courses.
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            IgA Vasculitis: Genetics and Clinical and Therapeutic Management.

            The purpose of the study is to perform an update on the current knowledge on genetics, clinical manifestations, and therapy in immunoglobulin A vasculitis (IgAV) (Henoch-Schönlein purpura).
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              Hereditary hemorrhagic telangiectasia: diagnosis and management.

              Hereditary hemorrhagic telangiectasia is an uncommon autosomal dominant disease that occurs in approximately one in 5,000 to 8,000 persons. This multisystem disorder can affect the nose, skin, gastrointestinal tract, lungs, liver, and brain. Epistaxis is the most common presenting problem, occurring in 90 percent of affected patients. Approximately 15 to 30 percent of patients with hereditary hemorrhagic telangiectasia will have an arteriovenous malformation in the lungs and more than 10 percent will have one in the brain. The symptoms of hereditary hemorrhagic telangiectasia are often unrecognized. Many patients, even those with affected family members, may go undiagnosed. Hereditary hemorrhagic telangiectasia is a clinical diagnosis that is based on the presence of three of four criteria (i.e., epistaxis, telangiectasias, visceral arteriovenous malformations, or family history of the disease). Screening and treatment recommendations have been created in an attempt to limit the morbidity and mortality associated with this disease. Patients with confirmed or suspected hereditary hemorrhagic telangiectasia should be screened for brain and lung arteriovenous malformations using magnetic resonance imaging of the brain and contrast echocardiography. Pulmonary arteriovenous malformations can be treated with embolization. Patients with a history of pulmonary arteriovenous malformations or those who have not been screened should use antibiotic prophylaxis before dental treatment, endoscopy, or other procedures that could cause bacteremia because of the risk of paradoxical brain embolism or infection.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                rcg
                Revista Colombiana de Gastroenterologia
                Rev Col Gastroenterol
                Asociación Colombiana de Gastroenterología (Bogotá, , Colombia )
                0120-9957
                June 2019
                : 34
                : 2
                : 194-196
                Affiliations
                [1] Bogotá orgnameUniversidad Nacional de Colombia Colombia
                [3] Bogotá Arauca orgnameUniversidad Nacional de Colombia Colombia
                [2] Bogotá orgnameUniversidad Nacional de Colombia Colombia
                Article
                S0120-99572019000200194
                10.22516/25007440.397
                c0430ab2-d631-44a2-84f1-70222e3a0a27

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 30 January 2018
                : 13 April 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 7, Pages: 3
                Product

                SciELO Colombia

                Categories
                Reporte de casos

                pemphigus,Piel,sangrado,endoscopia,pénfigo,Skin,bleeding,endoscopy
                pemphigus, Piel, sangrado, endoscopia, pénfigo, Skin, bleeding, endoscopy

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