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Arch Intern Med. 2002;162:221-222.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The microangiopathic hemolytic disorders cover a wide spectrum of clinical disorders and have a variety of underlying and triggering causes. Early diagnosis and treatment are essential to minimize organ damage and improve prognosis.

Report of a Case

A 60-year-old man with giant congenital cavernous hemangioma of the leg (Figure 1, A) was admitted for recurrent gastrointestinal bleeding for 1 year. On admission his platelet count and coagulation profile were normal. Celiac angiogram, red blood cell scintiscan (Figure 1, B) and laparotomy led to the uneventful resection of 3 bleeding ileal segments. One week after the third surgery, he developed acute pallor, jaundice, fever, and oliguria. Investigations showed a low hemoglobin level (6.2 g/dL) and platelet count (12 x 10³/µL), absent haptoglobin, a grossly elevated lactate dehydrogenase level (3560 U/L; normal, 197-401 U/L), and an elevated creatinine level (9.6 mg/dL [850 µmol/L]; normal, 0.9-1.4 mg/dL [76-128 µmol/L]), with a normal . . . [Full Text of this Article]

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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

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