Garrido C, Gayà J, Liompart A, Vaquer P, Sansó A, Riera J, Ginard D, Bonet L, Obrador A
Servicio de Digestivo, Hospital Son Dureta, Palma de Mallorca.
Gastroenterol Hepatol. 1997 Apr;20(4):172-4.
A prospective study of the prevalence of monosymptomatic celiac disease presented as ferropenic anemia in patients admitted for study such complication of was carried out. All the patients were evaluated by gastroscopy and biopsy of the distal duodenal segment, regardless of endoscopic appearance. Patients presenting an endoscopic lesion clearly suggestive as the origin of the chronic bleeding were excluded from the study. The prevalence of celiac disease, the only manifestation of which was ferropenic anemia, was 3.3% in this series. What is important to note in this study is the importance of duodenal biopsy in the study of ferropenic anemia, with the aim of avoiding diagnostic delay of a possible monosymptomatic celiac disease as the cause of the anemia.
