Tun Kyaw Min, Naga Yassin, Mesgun Sami, Aponte-Pieras Jose, Jinadasa Priyanthi, Ohning Gordon
Department of Internal Medicine, Kirk Kerkorian School of Medicine at the University of Nevada, Las Vegas, Las Vegas, NV.
Kirk Kerkorian School of Medicine at the University of Nevada, Las Vegas, Las Vegas, NV.
ACG Case Rep J. 2022 Oct 12;9(10):e00870. doi: 10.14309/crj.0000000000000870. eCollection 2022 Oct.
Gastric siderosis is the deposition of excess amount of iron from oral ferrous sulfate supplements to the gastric mucosa. It is an often overlooked entity in the literature and can be related to symptoms such as dyspepsia, nausea, and melena through mucosal injury. Different etiologies of gastric siderosis display distinct histopathological patterns. Pattern B, which is most commonly associated with oral iron supplements, is seen when iron is deposited in the extracellular space of the lamina propria. It is crucial to consider gastric siderosis as a potential diagnosis in symptomatic patients and to evaluate the necessity of oral ferrous sulfate supplements.
胃铁沉着症是口服硫酸亚铁补充剂中过量铁沉积于胃黏膜。它是文献中常被忽视的一种情况,可通过黏膜损伤导致消化不良、恶心和黑便等症状。胃铁沉着症的不同病因呈现出不同的组织病理学模式。模式B最常与口服铁补充剂相关,当铁沉积于固有层的细胞外间隙时可见。对于有症状的患者,将胃铁沉着症视为一种潜在诊断并评估口服硫酸亚铁补充剂的必要性至关重要。