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Elusive cause of iron deficiency anaemia

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A 58-year-old woman presented to our clinic with the diagnostic and management issue of severe symptomatic iron deficiency anaemia. She described generalised abdominal discomfort but no overt evidence of gastrointestinal… Click to show full abstract

A 58-year-old woman presented to our clinic with the diagnostic and management issue of severe symptomatic iron deficiency anaemia. She described generalised abdominal discomfort but no overt evidence of gastrointestinal (GI) bleeding, loss of weight, nausea, vomiting or diarrhoea. She had no significant medical history or any regular medications. She was an avid exerciser and had walked the Kokoda Trail in Papua New Guinea 12 months prior. Her biochemistry revealed a haemoglobin of 92 g/L with a mean corpuscular volume (MCV) of 65 fL and an undetectable ferritin (<6 µg/L). Her transferrin saturation was …

Keywords: cause iron; deficiency anaemia; elusive cause; iron deficiency

Journal Title: Frontline Gastroenterology
Year Published: 2021

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