Intravenous literature: Badami, K.G., Chalmers, I., Soule, S. and Walkden, D. (2012) Difficult venepuncture – it was all in the head! Transfusion Medicine. 22(6), p.448-9.
AIM: To emphasise the importance of careful observations and demonstrate that significant conditions may, on occasion, be detected during blood donation.
BACKGROUND: Venepunctures, the bread and butter of blood donor services, can be difficult procedures. We describe an unusual presentation of a relatively rare disease detected during routine blood donations because of difficult venepunctures.
METHODS: Case report.
RESULTS: A growth hormone-secreting pituitary adenoma was diagnosed, and successfully treated, following the initial observation of hard-to-puncture skin during blood donations.
CONCLUSIONS: Seemingly trivial abnormalities may prove clinically important. One presentation of acromegaly is hard-to-puncture skin.