Original Article

CME Article: Alpha-Gal Allergy as a Cause of Intestinal Symptoms in a Gastroenterology Community Practice

Objectives: Immunoglobulin E (IgE) to galactose-α-1,3-galactose (alpha-gal) is a recently appreciated cause of allergic reactions to mammalian meat and dairy. In eastern North America Lone Star tick bites are the dominant mode of sensitization. Classically the alpha-gal syndrome manifests with urticaria, gastrointestinal symptoms, and/or anaphylaxis, but increasingly there are reports…

Posted in: abdominal pain 9 gastrointestinal 5

Original Article

Transfusion Requirements in ESRD Patients Admitted with GI Hemorrhage Undergoing Inpatient Endoscopy

Objectives: To date there are no studies evaluating the utilization of blood products in patients with end-stage renal disease (ESRD) with gastrointestinal (GI) hemorrhage. This study estimated transfusion needs and determined predictors available at the time of admission for patients with ESRD admitted to a university hospital with GI bleeding…

Posted in: bleeding 6 end-stage renal disease 5 gastrointestinal 5 hemorrhage 7 transfusion 5

Case Report

Gastrointestinal Kaposi Sarcoma with Appendiceal Involvement

Kaposi sarcoma is a vascular tumor manifesting as nodular lesions on skin, mucous membranes, or internal organs. This is a case of a 42-year-old human immunodeficiency virus- (HIV) positive bisexual male, not on highly active antiretroviral therapy (HAART) since diagnosis four years ago. He presented with a three-day history of…

Posted in: gastrointestinal 5 kaposi sarcoma 3

Case Report

Acquired Hemophilia as a Paraneoplastic Manifestation of Gastrointestinal Stromal Tumor

Acquired hemophilia is a severe hemorrhagic diathesis characterized by the emergence of anti-factor VIII inhibiting antibodies. It is rarely seen in certain types of cancers as a paraneoplastic syndrome. The case of a 73-year-old patient who developed acquired hemophilia during the course of treatment for a gastrointestinal stromal tumor is…

Posted in: gastrointestinal 5 paraneoplastic 3 syndrome 7 tumor 6

Case Report

Isolated Gastrointestinal Histoplasmosis: Case Report and Review of the Literature

The usual manifestation of histoplasmosis is in the form of respiratory illness. We report the case of a 67-year-old man who presented with chronic diarrhea and did not respond to the conventional treatment, including that for Clostridium difficile. He was found to have isolated colonic histoplasmosis infection, which was treated…

Posted in: gastrointestinal 5 hemodialysis 9 histoplasmosis 3
SMA Menu