D. PAPAIOANNIDES, M.D.; CH. GIOTIS, M.D.; N. KARAGIANNIS, M.D.; C. VOUDOURIS, M.D.
To the editor: Two recent articles draw attention to the possible role of occult gastrointestinal blood loss in the pathogenesis of anemia in long-distance runners (1, 2). Although subclinical and clinical bleeding are common during competitive long-distance running (3, 4), severe or catastrophic hemorrhage leading to death is probably rare (4). During the last year we managed three cases of severe upper gastrointestinal hemorrhage in young athletes during long-distance races. All three athletes (two females aged 16 and 18, and one man aged 22) had one or two episodes of hematemesis shortly after the end of the race, and the
PAPAIOANNIDES D, GIOTIS C, KARAGIANNIS N, VOUDOURIS C. Acute Upper Gastrointestinal Hemorrhage in Long-Distance Runners. Ann Intern Med. ;101:719. doi: 10.7326/0003-4819-101-5-719_2
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Published: Ann Intern Med. 1984;101(5):719.
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