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Cited by 15Gastrointestinal Bleeding Diagnosis and TreatmentGenetic and Clinical Aspects of Sex Determination and Chromosomal AbnormalitiesVascular Malformations and Hemangiomas

Gastrointestinal vascular malformations in patients with Turner's syndrome: a systematic review of case reports

Kucharska, Anna, Józefczuk, Paweł, Ksiązyk, Maciej, Labochka, Dominika, Banaszkiewicz, Aleksandra·2018·Hormone Research in Paediatrics
DOI 10.1159/000490425
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Abstract

BACKGROUND/AIM: There is a paucity of data on gastrointestinal (GI) vascular abnormalities in patients with Turner's syndrome (TS). Therefore, this literature review aimed to characterize the nature of GI vascular malformations in patients with TS, their localization in the GI tract, and their clinical and laboratory manifestations. METHODS: A systematic search for articles was conducted using Medline and Embase (until August 2017). A manual search of the references of the included papers was performed to identify any potential additional references. We also conducted a retrospective chart review of all patients with TS and GI bleeding who were hospitalized at our institution. RESULTS: A total of 29 articles published between 1947 and 2015 that described 39 cases were reviewed. Additionally, we included 2 patients who were hospitalized at our institution. The median age of patients with TS was 15 years (range: 0.1-57 years). Iron deficiency anaemia (35/40), haematochezia (15/37), and melaena (14/36) were the most common symptoms. Abnormal GI vessels occurred throughout the entire bowel, with a predilection for the small intestine (72%, 29/40). The most common abnormal vessels (65%, 24/37) were telangiectasias and dilated veins. CONCLUSION: Telangiectasias and dilated veins of the small intestine were the most commonly seen abnormal GI vessels in patients with TS.

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  • Telangiectasias and dilated veins of the small bowel are reported as additional causes of GI bleeding among patients with TS.

    “Telangiectasias and dilated veins of the small bowel are reported as additional causes of GI bleeding among patients with TS,733 and in one case-report, bleeding from a vascular malformation in the gastrointestinal tract and resultant microcytic anemia improved with initiation of EST.734”

    From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [733]

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Authors
Kucharska, A., Józefczuk, P., Ksiązyk, M., Labochka, D., & Banaszkiewicz, A.
Affiliations
Medical University of Warsaw (PL)
ORCID
Banaszkiewicz, Aleksandra
Venue
Hormone Research in Paediatrics
Publisher
S. Karger AG
Published
2018
Volume
90
Issue
1
Pages
39-43
ISSN
  • 1663-2818 (ISSN-L)
  • 1663-2826
DOI
10.1159/000490425
OpenAlex
W2884715022
Cited by
15
References
29
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 2
FWCI
0.18
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Hormone Research in Paediatrics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal Bleeding Diagnosis and Treatment
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
  • Health Sciences › Medicine › Surgery › Vascular Malformations and Hemangiomas
Keywords
Turner syndrome, gastrointestinal vascular malformations, gastrointestinal bleeding, telangiectasia, small intestine, iron deficiency anemia, hematochezia, melena, vascular anomalies
MeSH terms
Adolescent, Adult, Child, Child, Preschool, Dilatation, Pathologic, Female, Humans, Infant, Male, Middle Aged, Telangiectasis, Turner Syndrome, Case-Control Studies, Gastrointestinal Tract

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