Article Text

PDF
An unusual case of severe iron deficiency anaemia
  1. P Schnuelle1,
  2. T Oberheiden1,
  3. D Hohenadel1,
  4. U Gottmann1,
  5. U Benck1,
  6. T Nebe2,
  7. H J Krammer3,
  8. F J van der Woude3,
  9. R Birck3
  1. 1Department of Medicine, University Hospital Mannheim, Medical Faculty of the University of Heidelberg, Germany
  2. 2Institution of Clinical Chemistry, University Hospital Mannheim, Medical Faculty of the University of Heidelberg, Germany
  3. 3Department of Medicine, University Hospital Mannheim, Medical Faculty of the University of Heidelberg, Germany
  1. Correspondence to:
    Dr P Schnuelle
    University Hospital Mannheim, Vth Medical Clinic, Theodor-Kutzer Ufer 1-3, 68135 Mannheim, Germany; peter.schnuelle{at}med5.ma.uni-heidelberg.de

Statistics from Altmetric.com

Abnormal iron absorption is a well recognised feature of subtle non-bleeding gastrointestinal conditions, such as coeliac disease or atrophic body gastritis, without otherwise gastrointestinal symptoms. We recently observed a patient with severe iron deficient anaemia mimicking impaired iron absorption in the absence of gastrointestinal pathology.

A 47 year old women was admitted to hospital in 2005 because a haemoglobin level of 6.4 g/dl had attracted attention when she was donating blood. She complained of fatigue and occasionally frontal headaches. On physical examination she appeared to have a normal nutritional condition but her skin was pale and she had brittle nails. Despite the severity of the anaemia she appeared well. Pulse frequency and blood pressure were normal. Blood smear showed a strikingly microcytotic hypochromic red blood cell …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.