Blue Rubber Bleb Nevus Syndrome: A Possible Cause for Growth Retardation and Pubertal Delay

Med Princ Pract. 2019;28(3):294-296. doi: 10.1159/000496105. Epub 2018 Dec 10.

Abstract

Objective: The aim of this paper was to describe a rare case of blue rubber bleb nevus (BRBNS) with growth retardation and pubertal delay.

Clinical presentation and intervention: A 16-year-old boy with severe iron deficiency anemia was diagnosed with BRBNS, showing growth retardation and pubertal delay simultaneously. The patient was treated conservatively with intravenous iron therapy, and his puberty advanced gradually.

Conclusion: Given that growth retardation and pubertal delay are rare in BRBNS patients, this case reminds us to include BRBNS in the differential diagnosis of growth retardation.

Keywords: Blue rubber bleb nevus syndrome; Growth retardation; Iron deficiency anemia; Pubertal delay.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Anemia, Iron-Deficiency / complications*
  • Anemia, Iron-Deficiency / drug therapy
  • Gastrointestinal Neoplasms / complications*
  • Growth Disorders / complications*
  • Humans
  • Iron / therapeutic use
  • Male
  • Nevus, Blue / complications*
  • Puberty, Delayed / complications*
  • Skin Neoplasms / complications*

Substances

  • Iron

Supplementary concepts

  • Blue rubber bleb nevus syndrome