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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