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Curling ulcer in the setting of severe sunburn: A case report

World Journal of Gastrointestinal Endoscopy 2020年第11期12卷 500-503页

作者： alexander schosheim Michelle Tobin Anupama Chawla Department ofPediatric Gastroenterology Stony Brook University HospitalStony BrookNY 11794United States

BACKGROUND While sunburns are very common,especially in pediatrics,curling ulcers secondary to sunburns are a very rare entity that has not been noted in the literature in over fifty *** case is the first addition to the literature since the originally documented *** SUMMARY A previously healthy 17 year old male presents to the emergency room with lethargy,shortness of breath on exertion,dark stools and *** fatigue started to become significantly worse four days prior to *** two weeks prior to admission,the patient was on a beach vacation with his family at which time he suffered severe *** had developed crampy epigastric abdominal pain,which was followed by dark,loose *** exam,he is non-toxic appearing,but with pallor and peeling skin on his face and chest with epigastric *** stool studies were all negative including Helicobacter *** denies use of any non-steroidal anti-inflammatory drugs and also denies alcohol or recreational drug *** admitted he is found to be significantly anemic with his hemoglobin as low as 6.3 requiring two units of packed red blood *** revealed several severe and deep ulcerations in the antrum and body of the stomach indicative of stress or curling *** While the incidence of stress ulcers is not known,it is most common with severe acute illness,most commonly presenting as upper gastrointestinal(GI)*** is essential to be aware of the risk of curling ulcers secondary to severe sunburns as patients with stress ulcer GI bleeding have increased morbidity and mortality compared to those who do not have GI bleed.

关键词： Curling ulcer Sunburn Stress ulcer Pediatrics Gastroenterology Gastrointestinal bleed Case report

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