[Hematemesis disclosing hemorrhagic fever with renal syndrome].
We report a case of hematemesis as the presenting sign of hemorrhagic fever with renal syndrome. Gastroscopy revealed hemorrhagic gastropathy. Such lesions are a common finding in epidemic nephropathy, the European form of the disease. The occurrence of such lesions could be induced in a direct, cytopathic effect of the virus but seems also to be related to the severity of thrombocytopenia.
Cleau
D
D
Service de Médecine B2, Centre Hospitalier Paul-Morel, Vesoul.
Germanese
J C
JC
Zeeh
S
S
Lapeyre
V
V
Ory
J P
JP
Paratte
Y
Y
Bourscheid
D
D
D005753:Gastric Mucosa / Q000473:pathology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000473:pathology; D006396:Hematemesis / Q000209:etiology*; D006480:Hemorrhagic Fever with Renal Syndrome / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male; D008875:Middle Aged