Patients with end-stage renal disease (ESRD) are at an increased risk of bleeding. We report the case of a 40-year-old female, on peritoneal dialysis for ESRD, who presented with profound anemia; she was later found to have a bleeding jejunal dialysis-associated telangiectasia. We review the literature published to date on dialysis-associated telangiectasia and discuss the possible underling etiologies.
ZelnickE.B., GoyalR.K.Gastrointestinal manifestations of chronic renal failure.Semin Nephrol1981; 1: 124–35.
2.
OdzeR.D., GoldblumJ.R.Surgical pathology of the GI tract, liver, biliarytract and pancreas.Elsevier2009; 193–200.
3.
CunninghamJ.T.Gastric telangiectasias in chronic hemodialysis patients: a report of six cases.Gastroenterology1981; 81(6): 1131–3.
4.
DaveP.B., RomeuJ., AntonelliA., EiserA.R.Gastrointestinal telangiectasias. A source of bleeding in patients receiving hemodialysis.Arch Intern Med1984; 144(9): 1781–3.
5.
ThériaultG., CordierS., HarveyR.Skin telangiectases in workers at an aluminum plant.N Engl J Med 1980;303(22): 1278–81.
6.
StegmayrB.Peritoneal dialysis as a plausible option in morbus Osler: case report.Adv Perit Dial2005; 21: 128–30.
7.
PoleseL., D'IncàR., AngrimanI., ScarpaM., PaganoD., RuffoloC.Gastrointestinal telangiectasia: a study by EGD, colonoscopy, and capsule endoscopy in 75 patients.Endoscopy2008; 40(1): 23–9.
8.
SmithC.R.Jr., BartholomewL.G., CainJ.C.Hereditary hemorrhagic telangiectasia and gastrointestinal hemorrhage.Gastroenterology1963; 44: 1–6.
9.
ConlonC.L., WeingerR.S., CimoP.L., MoakeJ.L., OlsonJ.D.Telangiectasia and von Willebrand's disease in two families.Ann Intern Med1978; 89(6): 921–4.
10.
WinterbauerR.H.Multiple telangiectasia, Reynaud's phenomenon, sclerodactly, and subcutaneous calcinosis: a syndrome mimicking hereditary hemorrhagic telangiectasia.Bull Johns Hopkins Hosp1964; 114: 361–3.
11.
TowneJ.W.Gastrointestinal bleeding associated with Turner's syndrome. A case report.J Maine Med Assoc1975; 66(2): 36–7.
12.
SchaeferR.A., GoldsteinM.J.Gastric and esophageal telangiectasia: a case report.Gastrointest Endosc;19(4): 192–3.
