アクセス数 : ?
ダウンロード数 : ?
ID 116098
著者
Kondo, Naoki Sakamoto Hospital
板東, 浩 Sakamoto Hospital|Tokushima University|Japan Low Carbohydrate Diet Promotion Association KAKEN研究者をさがす
Hatakeyama, Shigeki Sakamoto Hospital
Morita, Junji Sakamoto Hospital
Sakamoto, Kazuki Sakamoto Hospital
Ogawa, Tomoya Sakamoto Hospital
Iwatsuki, Noboru Sakamoto Hospital
キーワード
edema
heart failure
hypothyroidism
ferrous citrate
anemia
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
Endocrinology & Metabolism International Journal
ISSN
24730815
出版者
MedCrave Publishing
9
2
開始ページ
38
終了ページ
42
発行日
2021-05-03
権利情報
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.
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系