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缺铁性贫血作为幽门螺杆菌感染的唯一征象:9例儿科病例报告

Iron deficiency anemia as the only sign of infection with Helicobacter pylori: a report of 9 pediatric cases.

作者信息

Russo-Mancuso Giovanna, Branciforte Francesca, Licciardello Maria, La Spina Milena

机构信息

Department of Pediatric Hematology and Oncology, University of Catania, Catania, Italy.

出版信息

Int J Hematol. 2003 Dec;78(5):429-31. doi: 10.1007/BF02983815.

DOI:10.1007/BF02983815
PMID:14704035
Abstract

Recently, an association between Helicobacter pylori (HP) and iron deficiency anemia (IDA) was proposed. We describe 9 pediatric patients with a history of long-standing IDA and HP infection. After HP test results were confirmed to be positive, anti-HP therapy consisting of omeprazole, clarithromycin, and amoxicillin was administered for 2 weeks. The hematologic profile and iron status were assessed before and periodically after the end of the eradication regimen. The eradication of HP was associated with stable normalization of iron stores. HP infection may be involved in cases of IDA of unknown origin, and the eradication of HP is associated with the resolution of anemia.

摘要

最近,有人提出幽门螺杆菌(HP)与缺铁性贫血(IDA)之间存在关联。我们描述了9例有长期IDA病史且感染HP的儿科患者。在HP检测结果被确认为阳性后,给予由奥美拉唑、克拉霉素和阿莫西林组成的抗HP治疗2周。在根除方案结束前及结束后定期评估血液学指标和铁状态。HP的根除与铁储备稳定恢复正常有关。HP感染可能与不明原因的IDA病例有关,而HP的根除与贫血的缓解有关。

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本文引用的文献

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[Helicobacter pylori infection and idiopathic thrombocytopenic purpura].[幽门螺杆菌感染与特发性血小板减少性紫癜]
Nihon Rinsho. 2003 Apr;61(4):644-9.
2
Refractory iron-deficiency anaemia due to silent Helicobacter pylori gastritis in children.儿童隐匿性幽门螺杆菌胃炎所致难治性缺铁性贫血
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Randomised trial of endoscopy with testing for Helicobacter pylori compared with non-invasive H pylori testing alone in the management of dyspepsia.
New Insights into Iron Deficiency Anemia in Children: A Practical Review.
儿童缺铁性贫血的新见解:实用综述
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Refractory iron deficiency anemia and Helicobacter Pylori Infection in pediatrics: A review.小儿难治性缺铁性贫血与幽门螺杆菌感染:综述
Iran J Ped Hematol Oncol. 2015;5(1):50-64. Epub 2015 Mar 15.
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What do we know about benefits of H. pylori treatment in childhood?我们对儿童时期幽门螺杆菌治疗的益处了解多少?
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Unintended consequences of Helicobacter pylori infection in children in developing countries: iron deficiency, diarrhea, and growth retardation.发展中国家儿童感染幽门螺杆菌的意外后果:缺铁、腹泻和生长迟缓。
Gut Microbes. 2013 Nov-Dec;4(6):494-504. doi: 10.4161/gmic.26277. Epub 2013 Aug 28.
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Prevalence and predictive factors for gastrointestinal pathology in young men evaluated for iron deficiency anemia.缺铁性贫血患者中年轻男性胃肠道病理的流行情况及预测因素。
Dig Dis Sci. 2013 May;58(5):1299-305. doi: 10.1007/s10620-012-2496-6. Epub 2012 Nov 29.
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Consequences of Helicobacter pylori infection in children.儿童幽门螺杆菌感染的后果。
World J Gastroenterol. 2010 Nov 7;16(41):5181-94. doi: 10.3748/wjg.v16.i41.5181.
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