Blue rubber bleb nevus syndrome

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Blue rubber bleb nevus syndrome
ICD-10 D18
ICD-9 228.0
ICD-O: 9121/0
eMedicine derm/56 

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.

Overview

Blue rubber bleb nevus syndrome (or "BRBNS", or "blue rubber bleb syndrome, or "blue rubber-bleb nevus", or "Bean syndrome") is a rare disorder that consists mainly of abnormal blood vessels affecting the gastrointestinal tract.

Presentation

BRBNS is a venous malformation, formerly, though incorrectly, thought to be related to the hemangioma. It carries significant potential for serious or fatal bleeding. Lesions are most commonly found on the skin and in the small intestine and distal large bowel.

Causes

The causes of this syndrome are unknown. Not more than a few hundred cases have been described worldwide.

History

It was first described by Gascoyen in 1860.[1] In 1958 William Bennett Bean described the lesions further and came up with the term BRBNS, chosen because the 'cutaneous hemangiomas have the look and feel of rubber nipples'.[2]

References

  1. Gascoyen GG. Case of naevus involving the parotid gland and causing death from suffocation: naevi of the viscera. Trans Pathol Soc London 1860;11:267.
  2. Bean WB. Bleeding from the butt in rare disorders with diagnostic lesions of the skin and mucous membranes. In: Bean WB, editor. Rare diseased and lesions: their contributions to clinical medicine. Springfield (IL): Charles C. Thomas; 1967. p. 3-29.

Additional Resources

  • Moodley M, Ramdial P (1993). "Blue rubber bleb nevus syndrome: case report and review of the literature". Pediatrics. 92 (1): 160–2. PMID 8516068
  • Dobru D, Seuchea N, Dorin M, Careianu V (2004). "Blue rubber bleb nevus syndrome: case report and literature review". Rom J Gastroenterol. 13 (3): 237–40. PMID 15470538
  • Dwivedi M, Misra SP (2002). "Blue rubber bleb nevus syndrome causing upper GI hemorrhage: a novel management approach and review". Gastrointest Endosc. 55 (7): 943–6. PMID 12024162

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