Kandinata Natalie N, Breehl Logen, Chhetri Bhaskar, Paudel Suresh
Internal Medicine, Cape Fear Valley Medical Center, Fayetteville, USA.
Cureus. 2021 Nov 13;13(11):e19526. doi: 10.7759/cureus.19526. eCollection 2021 Nov.
Cerebrovascular accident is the fifth leading cause of death in the United States, with about 795,000 cases reported to the Centers for Disease Control and Prevention (CDC) each year. Several risk calculators for the development of stroke have been developed throughout the years, but none included iron deficiency anemia (IDA). We therefore would like to highlight the case of a 34-year-old female with severe iron deficiency anemia secondary to menorrhagia who had an ischemic stroke. An extensive workup was done and was negative. Given its significant presence with other comorbidities and various proposed pathogenesis, we propose that iron deficiency anemia be considered as a stroke factor. Studies in optimal hemoglobin or iron levels in patients with stroke to lower comorbidities and predict prognosis may also be beneficial.
脑血管意外是美国第五大死因，每年约有79.5万例报告给疾病控制与预防中心（CDC）。多年来已开发了几种中风发病风险计算器，但均未将缺铁性贫血（IDA）纳入其中。因此，我们想强调一例34岁女性因月经过多继发严重缺铁性贫血而发生缺血性中风的病例。进行了全面检查，结果均为阴性。鉴于缺铁性贫血与其他合并症显著相关以及各种提出的发病机制，我们建议将缺铁性贫血视为中风因素。研究中风患者的最佳血红蛋白或铁水平以降低合并症并预测预后可能也有益处。
