Gastrointestinal Bleeding/Angiodysplasia in Patients With Glanzmann Thrombasthenia

J Med Cases. 2024 Dec;15(12):401-405. doi: 10.14740/jmc4340. Epub 2024 Nov 11.

Abstract

Glanzmann thrombasthenia (GT) is a common type of bleeding disorder, with a prevalence of 1/10,000 in Al Madinah, Saudi Arabia. GT causes bleeding owing to the lack of platelet aggregation associated with glycoprotein IIb/IIIa deficiency, which is characterized by mucocutaneous bleeding symptoms, such as epistaxis, gingival bleeding, and menorrhagia. Gastrointestinal angiodysplasia (GIAD) is a rare presentation of GT, where eight cases have been reported. GIAD is a vascular malformation of the digestive system caused by abnormal angiogenesis. Treatment of GIAD include surgical resection, electrocoagulation, embolization, and medical therapy with octreotide, thalidomide, and bevacizumab. GIAD has a high tendency to recur. We report the cases of eight patients of different ages who were diagnosed with GT and presented with gastrointestinal bleeding.

Keywords: Gastrointestinal angiodysplasia; Gastrointestinal bleeding; Glanzmann thrombasthenia.

Publication types

  • Case Reports

Grants and funding

The authors received no financial support for the research, authorship, and/or publication of this article.