You are here

Article Text

Article menu

other Versions

Download PDFPDF
Education
Inside view
Rare cause of recurrent iron deficiency anaemia
  1. Musfira Shakeel1,
  2. Gaurav Nigam1,
  3. Maysoon Farroha2,
  4. Muhammad Afzal1
  1. 1Gastroentrology, Northern Care Alliance NHS Foundation Trust, Salford, Manchester, UK
  2. 2Department of Pathology, Northern Care Alliance NHS Group, Manchester, UK
  1. Correspondence to Dr Musfira Shakeel, Gastroentrology, Northern Care Alliance NHS Foundation Trust, Salford, Manchester OL1 2JH, UK; musfira.shakeel{at}doctors.org.uk

https://doi.org/10.1136/flgastro-2021-102028

Statistics from Altmetric.com

    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.

    Clinical presentation

    A 59-year-old presented with a 2-week history of fatigue, shortness of breath and pale appearance. Medical history included osteoarthritis of both hips for which he was on regular non-steroidal anti-inflammatory drugs (NSAIDs). There was no significant personal, social or family history. No gastrointestinal (GI) symptoms were reported, and no clinical signs of overt GI bleeding were noted. Clinical examination was unremarkable apart from hypertension (186/107) and tachycardia (pulse 118/min). Laboratory tests showed marked microcytic anaemia with haemoglobin (Hb) of 45 g/L, mean corpuscular volume of 67 fL and ferritin of 8 ng/mL, requiring blood transfusion. An inpatient gastroscopy was organised which only showed mild gastritis but no obvious cause for this significant drop in Hb was identified. A presumptive diagnosis of NSAID-related chronic GI bleeding was kept …

    View Full Text

    Footnotes

    • Twitter @drgauravbnigam

    • Contributors MS: senior house office; wrote the script, analysed literature. GN: registrar; edited the script, amended references. MF: consultant pathologist; analysed the pathology slides and provided. MA: consultant under whom the patient was admitted; supervised and guided with the structure and content of the script.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.