Straub J, Kolesková E, Haber J
Hematologické oddĕlení I. interní kliniky 1. Lékarské fakulty UK a VFN, Praha.
Vnitr Lek. 2001 Jul;47(7):493-5.
The objective of the paper is to draw attention to the not very frequent and thus omitted form of sideropenic anaemia in selective iron malabsorption as the only manifestation of malabsorption syndrome in coeliac sprue. This type should be suspected when examination of blood losses is futile and oral iron administration which is usually administered empirically produces no effect. The authors present the example of two patients with severe sideropenic anaemia where the diagnosis of malabsorption was confirmed only several years after the diagnosis of sideropenic anaemia was established. Evidence of a correct conclusion was permanent normalization of haemoglobin values when the patients adhered to a gluten-free diet.
本文的目的是提醒人们注意选择性铁吸收不良中不太常见因而被忽视的缺铁性贫血形式,这是乳糜泻中吸收不良综合征的唯一表现。当检查失血情况毫无结果,且通常凭经验给予的口服铁剂治疗无效时,就应怀疑这种类型。作者给出了两名严重缺铁性贫血患者的例子,在缺铁性贫血确诊几年后才确诊吸收不良。当患者坚持无麸质饮食时,血红蛋白值永久恢复正常,这证明了结论的正确性。