ID | 116098 |
Author |
Kondo, Naoki
Sakamoto Hospital
Bando, Hiroshi
Sakamoto Hospital|Tokushima University|Japan Low Carbohydrate Diet Promotion Association
KAKEN Search Researchers
Hatakeyama, Shigeki
Sakamoto Hospital
Morita, Junji
Sakamoto Hospital
Sakamoto, Kazuki
Sakamoto Hospital
Ogawa, Tomoya
Sakamoto Hospital
Iwatsuki, Noboru
Sakamoto Hospital
|
Keywords | edema
heart failure
hypothyroidism
ferrous citrate
anemia
|
Content Type |
Journal Article
|
Description | The patient was an 85-year-old female who has been treated for hypertension and atrial fibrillation (Af). She has visited outpatient clinic and has received regularly general blood tests for every six months. Hemoglobin (Hb) level was stable as 11.2-12.3 g/dL and MCV 88fL from 2017, but it decreased suddenly to 5.2 g/dL and 64 fL in Sept 2020. She did not feel any symptoms or signs. Further evaluations revealed that occult blood in stool and upper and endoscopic exams were negative. About 40 days after starting sodium ferrous citrate, she developed edema anasarca, bilateral pleural effusion and heart failure. Laboratory test showed hypothyroidism, and then the administration of thyroid hormone and diuretics brought her early improvement. As to this impressive case report, general clinical progress and some discussion of the relationship among anemia, edema anasarca, heart failure and hypothyroidism would be described.
|
Journal Title |
Endocrinology & Metabolism International Journal
|
ISSN | 24730815
|
Publisher | MedCrave Publishing
|
Volume | 9
|
Issue | 2
|
Start Page | 38
|
End Page | 42
|
Published Date | 2021-05-03
|
Rights | This is an open access article distributed under the terms of the Creative Commons Attribution License(https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and build upon your work non-commercially.
|
DOI (Published Version) | |
URL ( Publisher's Version ) | |
FullText File | |
language |
eng
|
TextVersion |
Publisher
|
departments |
Medical Sciences
|