n 18-year old Female with a History of Collapse – Case Report


Authors: J. Minařík;  M. Skácelová;  P. Horák;  A. Smržová;  L. Faltýnek;  V. Ščudla
Authors‘ workplace: III. interní klinika – nefrologická, revmatologická a endokrinologická, FN a LF UP v Olomouci
Published in: Transfuze Hematol. dnes,18, 2012, No. 2, p. 81-84.
Category: Comprehensive Reports, Original Papers, Case Reports

Overview

The aim of this paper is to report a less frequent cause of collapse associated with minimal clinical symptoms in an 18-year old female. Laboratory examinations revealed severe macrocytic anaemia (Hb 35 g/l, MCV 114 fl) with mild alteration of biochemical parameters. The differential diagnosis focused on a possible malabsorption syndrome, which was finally confirmed in the form of celiac disease. Dietary measures as well as substitution therapy lead to rapid normalization of laboratory parameters and an improvement in the patient´s clinical condition. The aim of our paper is to draw attention to less frequent manifestations of celiac disease and to possible pitfalls of routine differential diagnosis of anaemia.

Key words:
macrocytic anaemia, malabsorption syndrome, collapse, celiac disease


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Labels
Haematology Internal medicine Clinical oncology

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