Watermelon stomach in a patient with primary Sjögren's syndrome

Introduction. Watermelon stomach (WS) or gastric antral vascular ectasia (GAVE) is a rare cause of upper gastrointestinal bleeding described in a variety of autoimmune disorders. Association of watermelon stomach with Sjögren's syndrome is extremely rare. Case report. We presented a 67-year old...

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Main Authors: Krstić Miodrag, Alempijević Tamara, Andrejević Slađana, Zlatanović Maja, Damjanov Nemanja, Ivanović Branislava, Jovanović Ivan, Tarabar Dino, Milosavljević Tomica
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2010-01-01
Series:Vojnosanitetski Pregled
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Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501003256K.pdf
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author Krstić Miodrag
Alempijević Tamara
Andrejević Slađana
Zlatanović Maja
Damjanov Nemanja
Ivanović Branislava
Jovanović Ivan
Tarabar Dino
Milosavljević Tomica
author_facet Krstić Miodrag
Alempijević Tamara
Andrejević Slađana
Zlatanović Maja
Damjanov Nemanja
Ivanović Branislava
Jovanović Ivan
Tarabar Dino
Milosavljević Tomica
author_sort Krstić Miodrag
collection DOAJ
description Introduction. Watermelon stomach (WS) or gastric antral vascular ectasia (GAVE) is a rare cause of upper gastrointestinal bleeding described in a variety of autoimmune disorders. Association of watermelon stomach with Sjögren's syndrome is extremely rare. Case report. We presented a 67-year old female with primary Sjögren's syndrome (SS) who had developed a persistent severe iron-deficiency anemia. An upper gastric endoscopy revealed the presence of gastric antral vascular ectasia (GAVE) as a cause of occult gastrointestinal bleeding. The treatment with argon-plasma coagulation was postponed as the conservative therapy with iron substitution and proton pump inhibitor led to improvement of anemia and hemoglobin levels normalization. Conclusion. This is the first report of WS in a patient with primary SS without the presence of coexisting autoimmune disorder. Recognition of this rare, but clinically important, cause of gastrointestinal bleeding may decrease comorbidity in patients with autoimmune disorders including primary Sjögren's syndrome.
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publisher Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
record_format Article
series Vojnosanitetski Pregled
spelling doaj-art-89a68042471b49fd89b53c00a491f6472025-08-20T01:58:12ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502010-01-0167325625810.2298/VSP1003256KWatermelon stomach in a patient with primary Sjögren's syndromeKrstić MiodragAlempijević TamaraAndrejević SlađanaZlatanović MajaDamjanov NemanjaIvanović BranislavaJovanović IvanTarabar DinoMilosavljević TomicaIntroduction. Watermelon stomach (WS) or gastric antral vascular ectasia (GAVE) is a rare cause of upper gastrointestinal bleeding described in a variety of autoimmune disorders. Association of watermelon stomach with Sjögren's syndrome is extremely rare. Case report. We presented a 67-year old female with primary Sjögren's syndrome (SS) who had developed a persistent severe iron-deficiency anemia. An upper gastric endoscopy revealed the presence of gastric antral vascular ectasia (GAVE) as a cause of occult gastrointestinal bleeding. The treatment with argon-plasma coagulation was postponed as the conservative therapy with iron substitution and proton pump inhibitor led to improvement of anemia and hemoglobin levels normalization. Conclusion. This is the first report of WS in a patient with primary SS without the presence of coexisting autoimmune disorder. Recognition of this rare, but clinically important, cause of gastrointestinal bleeding may decrease comorbidity in patients with autoimmune disorders including primary Sjögren's syndrome.http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501003256K.pdfSjogren's syndromegastral antral vascular ectasiaanemia, iron-deficiencydrug therapytreatment outcome
spellingShingle Krstić Miodrag
Alempijević Tamara
Andrejević Slađana
Zlatanović Maja
Damjanov Nemanja
Ivanović Branislava
Jovanović Ivan
Tarabar Dino
Milosavljević Tomica
Watermelon stomach in a patient with primary Sjögren's syndrome
Vojnosanitetski Pregled
Sjogren's syndrome
gastral antral vascular ectasia
anemia, iron-deficiency
drug therapy
treatment outcome
title Watermelon stomach in a patient with primary Sjögren's syndrome
title_full Watermelon stomach in a patient with primary Sjögren's syndrome
title_fullStr Watermelon stomach in a patient with primary Sjögren's syndrome
title_full_unstemmed Watermelon stomach in a patient with primary Sjögren's syndrome
title_short Watermelon stomach in a patient with primary Sjögren's syndrome
title_sort watermelon stomach in a patient with primary sjogren s syndrome
topic Sjogren's syndrome
gastral antral vascular ectasia
anemia, iron-deficiency
drug therapy
treatment outcome
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501003256K.pdf
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