COEXISTENCE OF SYMPTOMATIC IRON-DEFICIENCY ANEMIA AND DUODENAL NODULAR LYMPHOID HYPERPLASIA DUE TO GIARDIASIS: Case Report

被引:6
作者
Kasrga, Erhun [1 ]
Gulen, Huseyin [1 ]
Simsek, Ayse [2 ]
Ayhan, Semin [3 ]
Ylmaz, Ozge [2 ]
Ellidokuz, Ender [4 ]
机构
[1] Celal Bayar Univ, Fac Med, Manisa, Turkey
[2] Celal Bayar Univ, Dept Pediat, Sch Med, Manisa, Turkey
[3] Celal Bayar Univ, Dept Pathol, Dept Pediat, Sch Med, Manisa, Turkey
[4] Celal Bayar Univ, Sch Med, Dept Gastroenterol, Dept Pediat, Manisa, Turkey
关键词
giardiasis; iron-deficiency anemia; nodular lymphoid hyperplasia; INFECTION;
D O I
10.1080/08880010802243987
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Iron-deficiency anemia due to iron malabsorption and duodenal nodular lymphoid hyperplasia (NLH) has been described in children with Giardia intestinalis infection. Also, symptomatic iron-deficiency anemia is rarely encountered in male adolescents. A 14-year-old boy underwent esophagogastroduodenoscopy for investigation of symptomatic iron-deficiency anemia (hemoglobin 5.8 g/dL, mean corpuscular volume 65.3 fL, serum ferritin 1.5 ng/mL). He had a sufficient diet for iron and recurrent bouts of diarrhea without melena. At upper endoscopy, duodenal mucosa was diffusely nodular. Histopathologic evaluation of biopsy samples from the duodenum revealed infection with Giardia intestinalis. His anemia improved with metronidazole and iron treatment.
引用
收藏
页码:57 / 61
页数:5
相关论文
共 13 条
[1]   Anaemia and iron deficiency among adolescent schoolgirls in peri-urban Bangladesh [J].
Ahmed, F ;
Khan, MR ;
Islam, M ;
Kabir, I ;
Fuchs, GJ .
EUROPEAN JOURNAL OF CLINICAL NUTRITION, 2000, 54 (09) :678-683
[2]   Duodenal nodular lymphoid hyperplasia caused by giardiasis infection in a patient who is immunodeficient [J].
de Weerth, A ;
Gocht, A ;
Seewald, S ;
Brand, B ;
van Lunzen, J ;
Seitz, U ;
Thonke, F ;
Fritscher-Ravens, A ;
Soehendra, N .
GASTROINTESTINAL ENDOSCOPY, 2002, 55 (04) :605-607
[3]  
deMorais MB, 1996, J AM COLL NUTR, V15, P434
[4]   IRON MALABSORPTION IN GIARDIASIS [J].
DEVIZIA, B ;
POGGI, V ;
VAJRO, P ;
CUCCHIARA, S ;
ACAMPORA, A .
JOURNAL OF PEDIATRICS, 1985, 107 (01) :75-78
[5]  
Eskeland B, 1999, ACTA PAEDIATR, V88, P815, DOI 10.1080/08035259950168711
[6]  
Heresi G, 1997, Pediatr Rev, V18, P243, DOI 10.1542/pir.18-7-243
[7]  
LEVENDOGLU H, 1992, AM J GASTROENTEROL, V87, P1200
[8]  
Onbasi Kevser, 2005, Turk J Gastroenterol, V16, P111
[9]  
OSKI FA, 1993, NEW ENGL J MED, V329, P190, DOI 10.1056/NEJM199307153290308
[10]   DIFFUSE FOLLICULAR LYMPHOID HYPERPLASIA OF THE SMALL-INTESTINE WITHOUT PRIMARY IMMUNOGLOBULIN DEFICIENCY [J].
RAMBAUD, JC ;
DESAINTLOUVENT, P ;
MARTI, R ;
GALIAN, A ;
MASON, DY ;
WASSEF, M ;
LICHT, H ;
VALLEUR, P ;
BERNIER, JJ .
AMERICAN JOURNAL OF MEDICINE, 1982, 73 (01) :125-132