{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T15:46:51Z","timestamp":1789055211954,"version":"build-2803163510"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,4,2]],"date-time":"2018-04-02T00:00:00Z","timestamp":1522627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Iron deficiency caused by gastrointestinal (GI) bleeding is a common cause of anemia in hemodialysis patient. Herein, we report the case of an 89\u2010year\u2010old hemodialysis patient who presented with acute anemia and melena. Endoscopy found gastritis and diverticulosis without active bleeding. A capsule endoscopy (CE) was then performed and revealed multiple vascular lesions that lead to the diagnosis of Blue Rubber Bleb Nevus syndrome (BRBNS). This rare disease is associated with multiple venous malformations in the skin and the GI tract, usually observed in children. The patient developed 4 months latter 2 skin lesions compatible with BRBNS. Treatment included blood transfusion and intravenous iron supplementation. We reported an unusual presentation of venous malformation BRBS which differs from angioectasia, in an adult hemodialysis patient. Overall prognosis is good<\/jats:p>","DOI":"10.1111\/hdi.12657","type":"journal-article","created":{"date-parts":[[2018,4,2]],"date-time":"2018-04-02T16:44:30Z","timestamp":1522687470000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["An unusual cause of gastrointestinal bleeding in a hemodialysis patient"],"prefix":"10.1111","volume":"22","author":[{"given":"Julien","family":"Aron","sequence":"first","affiliation":[{"name":"AURA Paris Plaisance Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aymeric","family":"Couturier","sequence":"additional","affiliation":[{"name":"AURA Paris Plaisance Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila","family":"Sinayoko","sequence":"additional","affiliation":[{"name":"Service de Gastro\u2010ent\u00e9rologie H\u00f4pital Begin, Saint\u2010Mand\u00e9  France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viviane","family":"Duedal","sequence":"additional","affiliation":[{"name":"Service de chirurgie vasculaire Clinique Labrouste\u2010Alleray Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Ridel","sequence":"additional","affiliation":[{"name":"AURA Paris Plaisance Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0510-2431","authenticated-orcid":false,"given":"Maxime","family":"Touzot","sequence":"additional","affiliation":[{"name":"AURA Paris Plaisance Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,2]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-102-5-588"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0084943"},{"key":"e_1_2_5_4_1","first-page":"198","article-title":"The prevalence and significance of occult blood loss in patients with predialysis advanced chronic renal failure (CRF), or receiving dialytic therapy","volume":"42","author":"Akmal M","year":"1994","journal-title":"Clin Nephrol."},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12301"},{"key":"e_1_2_5_6_1","first-page":"807","article-title":"Angiodysplasia of the gastrointestinal tract","volume":"88","author":"Foutch PG.","year":"1993","journal-title":"Am J Gastroenterol."},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2015.196"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jid.2016.07.034"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i45.17254"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000450876"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.26049"}],"container-title":["Hemodialysis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fhdi.12657","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.12657","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T06:28:11Z","timestamp":1694845691000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hdi.12657"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,2]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1111\/hdi.12657"],"URL":"https:\/\/doi.org\/10.1111\/hdi.12657","archive":["Portico"],"relation":{},"ISSN":["1492-7535","1542-4758"],"issn-type":[{"value":"1492-7535","type":"print"},{"value":"1542-4758","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,2]]},"assertion":[{"value":"2018-02-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}