The Journal of the Arkansas Medical Society Med Journal Feb 2019 Final 2 | Page 11

common and noticed during childhood, our case is interesting in having none, with only two similiar cases reported previously. 3 Treatment is directed based on the severity of the disease. Patients with mild disease are treated with iron supplementation and blood trans- fusion. The mammalian target of rapamycin (mTOR) has been reported as a possible pathogenic mechanism, with potential use of sirolimus as a treatment modality. 4 If symptoms are recurrent and severe, endoscopic hemostasis could be attempted based on the site of the lesion with a com- Though skin lesions are common and noticed during childhood, our case is interesting in having none, with only two similiar cases reported previously. 3 bination of sclerotherapy, band ligation, argon plasma coagulation, or laser application. 5 Surgical resection is reserved for refractory bleeding or for complications such as intussusception, intestinal torsion, and obstruction. References 1. Fishman SJ, et al. Blue rubber bleb nevus syndrome: surgical eradication of gastrointestinal bleeding. - PubMed - NCBI. 2017. 2. Jin XL, et al. Blue rubber bleb nevus syndrome: a case report and literature review. - PubMed - NCBI. 2017. 3. Selinger AG, Abdelhai A, Jamie W, Stephen. Blue rubber bleb nevus syn- drome: a rare presentation of late-onset anemia and lower gastrointestinal bleeding without cutaneous manifestations. 2016. 4. Yuksekkaya H, et al. Blue rubber bleb nevus syndrome: successful treat- ment with sirolimus. - PubMed - NCBI. 2017. 5. Wu C, et al. Endoscopic management of blue rubber bleb nevus syndrome in the colon with hemostatic clamp and snare. - PubMed - NCBI. 2017. Note: For a copy of the video, please email: [email protected] Figure 4. Medical Board Legal Issues? Fly Smarter. Fly Charter. Since 1939 Call Pharmacist/Attorney Darren O’Quinn Hassle Free Travel On Your Schedule Land Closer to Your Destination Pets Fly Free & Safely with You Arrive Relaxed & Ready for Business or Leisure 1-800-455-0581 www.DarrenOQuinn.com ® in the Continental US, Carribean, Mexico or Canada Little Rock, Arkansas Contact Charter Today 975.9329 / [email protected] 8 YEARS OF FLIGHT 1 9 3 9 - 2 0 1 9 2 3 0 1 C r i s p D r i v e | L i t t l e R o c k | A r k a n s a s | 7 2 2 0 2 NUMBER 8 | c e n t r a l . a e r o FEBRUARY 2019 • 179