TY - JOUR T1 - Rare cause of recurrent iron deficiency anaemia JF - Frontline Gastroenterology JO - Frontline Gastroenterol DO - 10.1136/flgastro-2021-102028 SP - flgastro-2021-102028 AU - Musfira Shakeel AU - Gaurav Nigam AU - Maysoon Farroha AU - Muhammad Afzal Y1 - 2021/12/08 UR - http://fg.bmj.com/content/early/2021/12/08/flgastro-2021-102028.abstract N2 - 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 … ER -