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缺铁性贫血:一名原本健康的年轻女性急性枕叶卒中的意外病因。

Iron Deficiency Anemia: An Unexpected Cause of an Acute Occipital Lobe Stroke in an Otherwise Healthy Young Woman.

作者信息

Zhang Qian, Shan Khine S, O'Sullivan Conor, Nace Travis

机构信息

Internal Medicine, Abington Hospital-Jefferson Health, Abington, USA.

Internal Medicine, University of Maryland Medical Center, Baltimore, USA.

出版信息

Cureus. 2020 Apr 27;12(4):e7852. doi: 10.7759/cureus.7852.

DOI:10.7759/cureus.7852
PMID:32483503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7255072/
Abstract

A 29-year-old caucasian woman who presented to the hospital with an acute onset of right eye visual disturbance and headache was found to have an acute left occipital lobe infarction. Past medical history was significant for iron deficiency anemia (IDA) secondary to menorrhagia. Her initial hemoglobin level was 7.8 G/DL, and her symptoms improved after iron and blood transfusions. Hypercoagulable studies were completed in the outpatient setting, and the results were unremarkable. Her acute stroke was most likely related to IDA as she had low cardiovascular risk factors along with a negative complete stroke workup.

摘要

一名29岁的白人女性因右眼视力急性障碍和头痛入院,被发现患有急性左枕叶梗死。既往病史显示因月经过多继发缺铁性贫血(IDA)。她最初的血红蛋白水平为7.8克/分升,经补铁和输血后症状有所改善。在门诊完成了高凝状态检查,结果无异常。她的急性中风很可能与IDA有关,因为她的心血管危险因素较低,且全面的中风检查结果为阴性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4411/7255072/9cdb760039ab/cureus-0012-00000007852-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4411/7255072/dab7fc053f56/cureus-0012-00000007852-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4411/7255072/9cdb760039ab/cureus-0012-00000007852-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4411/7255072/dab7fc053f56/cureus-0012-00000007852-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4411/7255072/9cdb760039ab/cureus-0012-00000007852-i02.jpg

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本文引用的文献

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Rare cause of stroke in young: Iron deficiency anemia and diabetic ketoacidosis.年轻人中风的罕见病因:缺铁性贫血和糖尿病酮症酸中毒。
J Family Med Prim Care. 2019 May;8(5):1775-1777. doi: 10.4103/jfmpc.jfmpc_187_19.
2
Iron-deficiency Anemia Causes an Ischemic Stroke in a Young Man.缺铁性贫血导致一名年轻男性发生缺血性中风。
Cureus. 2019 Mar 11;11(3):e4218. doi: 10.7759/cureus.4218.
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A Rare Case of Stroke Secondary to Iron Deficiency Anemia in a Young Female Patient.一名年轻女性患者因缺铁性贫血继发中风的罕见病例。
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Embolic Stroke due to a Common Carotid Artery Thrombus in a Young Patient with Severe Iron-Deficiency Anemia without Thrombocytosis.一名年轻的严重缺铁性贫血且无血小板增多症患者因颈总动脉血栓形成导致的栓塞性中风
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Two cases of acute ischemic stroke associated with iron deficiency anemia due to bleeding from uterine fibroids in middle-aged women.两例中年女性因子宫肌瘤出血导致缺铁性贫血并发急性缺血性卒中。
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Association between ischemic stroke and iron-deficiency anemia: a population-based study.缺血性中风与缺铁性贫血之间的关联:一项基于人群的研究。
PLoS One. 2013 Dec 9;8(12):e82952. doi: 10.1371/journal.pone.0082952. eCollection 2013.
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Iron-Deficiency Anemia Leading to Transient Ischemic Attacks due to Intraluminal Carotid Artery Thrombus.缺铁性贫血导致因颈内动脉腔内血栓形成引发的短暂性脑缺血发作。
Case Rep Neurol Med. 2013;2013:813415. doi: 10.1155/2013/813415. Epub 2013 Sep 12.
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Acute ischemic stroke secondary to iron deficiency anemia: a case report.缺铁性贫血继发急性缺血性卒中:一例报告
Case Rep Neurol Med. 2012;2012:487080. doi: 10.1155/2012/487080. Epub 2012 May 9.
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Severe iron deficiency anaemia and ischaemic stroke in children.儿童严重缺铁性贫血和缺血性脑卒中。
Arch Dis Child. 2011 Mar;96(3):276-9. doi: 10.1136/adc.2010.189241. Epub 2010 Oct 27.
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Cerebral infarction in acute anemia.急性贫血导致的脑梗死。
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